IndividualActive
Allie Whittington
NPI 1407664931 · Physician Assistant · Carbondale, IL
Provider details
- NPI number
- 1407664931
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 085010824 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2601 W Main St
Carbondale, IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3988
Carbondale, IL 62902-3988
Additional practice locations (3)
- 117 E Clark StHarrisburg, IL 62946-2702Phone: (618) 252-8625Fax: (618) 351-4859
- 405 Rushing DrHerrin, IL 62948-3730Phone: (618) 993-3300Fax: (618) 993-0262
- 502 W Saint Louis St Ste 4West Frankfort, IL 62896-1968Phone: (618) 937-3400Fax: (618) 997-9324
Registry dates
- Enumerated
- 2024-12-30
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.