Provider Demographics
NPI:1043883135
Name:SIVAK, ALLISON MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE
Last Name:SIVAK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 175TH PL
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-4043
Mailing Address - Country:US
Mailing Address - Phone:708-469-9499
Mailing Address - Fax:
Practice Address - Street 1:20500 S LAGRANGE RD STE 5
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1900
Practice Address - Country:US
Practice Address - Phone:630-926-8889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic