Provider Demographics
NPI:1699436881
Name:SCHENTRUP, ALLISON (MA, AMFT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SCHENTRUP
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 W WASHINGTON ST STE 1500
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1607
Mailing Address - Country:US
Mailing Address - Phone:312-612-0125
Mailing Address - Fax:
Practice Address - Street 1:22 W WASHINGTON ST STE 1500
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1607
Practice Address - Country:US
Practice Address - Phone:312-535-9090
Practice Address - Fax:872-206-9591
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208.000717106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist