Individual
TRACY MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 W ROOSEVELT RD, CHICAGO, IL 60608-1316
(312) 355-4268
Mailing address
1352 E MADISON PARK, UNIT 1, CHICAGO, IL 60615-2983
(312) 355-4268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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