| Mckenzie Psychological Services, Pllc | |
|
5547 N Ravenswood Ave Ste 409 Chicago IL 60640-1125 | |
| (773) 234-8810 | |
| Not Available |
| Full Name | Mckenzie Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5547 N Ravenswood Ave Ste 409, Chicago, Illinois |
| Authorized Official Name and Position | Andrew Mckenzie (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7732348810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Psychological Services, Pllc 5440 N Paulina St Unit 1 Chicago IL 60640-1128 Ph: (773) 209-8810 | Mckenzie Psychological Services, Pllc 5547 N Ravenswood Ave Ste 409 Chicago IL 60640-1125 Ph: (773) 234-8810 |
| NPI Number | 1174290936 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Medicare PECOS PAC ID | 9537524491 |
|---|---|
| Medicare Enrollment ID | O20230427001464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174290936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrew M Mckenzie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487959953 PECOS PAC ID: 5294915344 Enrollment ID: I20110208000280 |
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