Individual
ALISON MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 W PALMER ST, SUITE #2, CHICAGO, IL 60647-3519
(312) 714-5154
(312) 854-2850
Mailing address
3517 W PALMER ST, SUITE #2, CHICAGO, IL 60647-3519
(312) 714-5154
(312) 854-2850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.012601
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457681090
NPI TYPE 2
IL
Enumeration date
05/26/2010
Last updated
05/26/2010
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