Mackenzie Ann Lullo, AS, BAS, PTA - Physical Medicine & Rehabilitation in Wauconda, IL

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Mackenzie Ann Lullo, AS, BAS, PTA is a Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine physician based in Wauconda, Illinois. Mackenzie Ann Lullo is licensed to practice in Illinois (license number 160.009537) and her current practice location is 23525 W Milton Rd, Wauconda, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 438-5400.

NPI number for Mackenzie Ann Lullo is 1063145712 and her current mailing address is 1513 Evergreen St, Holiday Hills, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063145712.

Contact Information

Mackenzie Ann Lullo, AS, BAS, PTA
23525 W Milton Rd,
Wauconda, IL 60084-2619
(847) 438-5400
Not Available

Map and Direction




Physician's Profile

Full NameMackenzie Ann Lullo
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine
Location23525 W Milton Rd, Wauconda, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063145712
  • Provider Enumeration Date: 07/08/2022
  • Last Update Date: 07/08/2022

Medical Identifiers

Medical identifiers for Mackenzie Ann Lullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063145712NPI-NPPES
1003094996OtherILPEDIATRICS IN MOTION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081P0010XPhysical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine 160.009537 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Ann Lullo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mackenzie Ann Lullo, AS, BAS, PTA
1513 Evergreen St,
Holiday Hills, IL 60051-9128

Ph: (815) 861-0856		Mackenzie Ann Lullo, AS, BAS, PTA
23525 W Milton Rd,
Wauconda, IL 60084-2619

Ph: (847) 438-5400

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Wauconda, IL

Mr. Reynaldo D Dado, PT
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 2751 Cedar Creek Cut-off Rd, Wauconda, IL 60084
Phone: 847-404-4248    Fax: 847-487-7147

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.