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Individual

DR. PATRICK J MCKIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
9901 S WESTERN AVE, SUITE 207, CHICAGO, IL 60643-1800
(877) 506-8383
(773) 779-9982
Mailing address
10318 S HAMILTON AVE, CHICAGO, IL 60643-2415
(877) 506-8383
(773) 779-9982

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20040466A
IN
103TC0700X
Clinical Psychologist
Primary
IL

Other

Enumeration date
07/25/2006
Last updated
07/08/2007
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