Organization
MACK E. WINN AND ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MACK E WINN LCSW (OWNER/ PRESIDENT)
(847) 604-9451
Entity
Organization
Contact information
Practice address
11 N SKOKIE HWY STE 111, LAKE BLUFF, IL 60044-1776
(847) 604-9451
(847) 604-9457
Mailing address
11 N SKOKIE HWY STE 111, LAKE BLUFF, IL 60044-1776
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
149003400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149003400
SOCIAL WORK LICENSE
IL
Enumeration date
09/13/2006
Last updated
08/13/2008
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