Provider Demographics
NPI:1427495241
Name:SAGE, ALISON LINN (DO)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:LINN
Last Name:SAGE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:LINN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:932 LAKE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1204
Mailing Address - Country:US
Mailing Address - Phone:331-221-1700
Mailing Address - Fax:331-221-2729
Practice Address - Street 1:932 LAKE ST STE 300
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1204
Practice Address - Country:US
Practice Address - Phone:331-221-1700
Practice Address - Fax:331-221-2730
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036139049207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine