Individual provider Active NPI

Alison S Holloway, MD

  • Family Medicine Physician
  • Rosemont, IL
National Provider Identifier
1699751735
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-098167 Issued in IL
Practice address
6300 North River Road, Suite 100a
Rosemont, IL 60018
Phone
(312) 421-1016
Fax
(847) 787-7144
NPI assigned
Dec 20, 2005
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38428-20 WI
Family Medicine Physician 207Q00000X 036-098167 IL Primary

Addresses

Primary practice location

6300 North River Road, Suite 100a
Rosemont, IL 60018

Mailing address

1307 Countryside Manor PL
Chesterfield, MO 63005
Phone (702) 428-0094

Other identifiers 1

IdentifierTypeStateIssuer
036098167MedicaidIL

Other names 1

  • Dr. Alison Sennello Holloway Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-098167ILMDFamily Medicine Physician
38428-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Health, LLC CurrentSince Feb 1, 2022 Accepting new patients
Marathon Health, LLC CurrentSince Feb 1, 2022 Accepting new patients
Rosalind Franklin University of Medicine and Science Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Grayslake Family Health Center SC Family Medicine PastSince Mar 1, 2005 Accepting new patients
Northwestern Memorial Physicians Group Past Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1699751735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 COUNTRYSIDE MANOR PL",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63005",
            "telephone_number": "702-428-0094",
            "fax_number": "636-590-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 NORTH RIVER ROAD, SUITE 100A",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "60018",
            "telephone_number": "312-421-1016",
            "fax_number": "847-787-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "ALISON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38428-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-098167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "HOLLOWAY",
            "middle_name": "SENNELLO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rosemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.