Individual
COLLEEN MCKEOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8145 RIVER DR STE 101, MORTON GROVE, IL 60053-2645
(224) 470-1111
Mailing address
8145 RIVER DR STE 101, MORTON GROVE, IL 60053-2645
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23999
IL
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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