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Allison Bertrand

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Charleston, IL

NPI 1245855337 · NPPES record last updated Jun 15, 2020

Key facts

NPI
1245855337
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
600 Lincoln Ave
Charleston, IL 61920-3011
Phone
(217) 581-2712
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Pediatric Therapy Past
since Mar 6, 2022		 Accepting new patients
K1DS Count Therapy, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

600 Lincoln Ave
Charleston, IL 61920-3011

Mailing address

1305 Arthur Ave Apt 2
Charleston, IL 61920-3784
Phone (217) 549-4515

Other providers in Charleston, IL

All providers in Charleston, IL · Student in an Organized Health Care Education/Training Program in Illinois

Sources for this page

Verify at the official NPI Registry.