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Individual

MADELINE EILEEN MACKENZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCSP, ILLINOIS PEL

Contact information

Practice address
2701 CENTRAL RD, GLENVIEW, IL 60025-4134
(847) 657-2111
Mailing address
71 W HUBBARD STREET, APT 3511, CHICAGO, IL 60654
(630) 640-6318

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
2558541
IL
103TS0200X
School Psychologist
Primary
68219
IL

Other

Enumeration date
04/09/2025
Last updated
04/16/2025
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