Provider Demographics
NPI:1033958574
Name:KORZONAS, ALANA (LSW)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:KORZONAS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 SKOKIE BLVD STE 503
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-7913
Mailing Address - Country:US
Mailing Address - Phone:847-579-9317
Mailing Address - Fax:
Practice Address - Street 1:450 SKOKIE BLVD STE 503
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-7913
Practice Address - Country:US
Practice Address - Phone:847-579-9317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.112246104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker