Individual
DR. DAVID PRESTON MACKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
244 E OGDEN AVE, SUITE 11, HINSDALE, IL 60521-3648
(630) 325-4770
(630) 325-4663
Mailing address
244 E OGDEN AVE, SUITE 11, HINSDALE, IL 60521-3648
(630) 325-4770
(630) 325-4663
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232831
BLUE CROSS/BLUE SHIELD ID
IL
Enumeration date
08/01/2006
Last updated
07/08/2007
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