Provider Demographics
NPI:1285072173
Name:UHLER, ALYSE NOEL (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MS
First Name:ALYSE
Middle Name:NOEL
Last Name:UHLER
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6S344 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-5110
Mailing Address - Country:US
Mailing Address - Phone:815-546-8459
Mailing Address - Fax:
Practice Address - Street 1:4201 WINFIELD RD
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-4025
Practice Address - Country:US
Practice Address - Phone:630-527-3645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085004710363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant