Individual
DANIELLE ANN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11053 S MILLARD AVE, CHICAGO, IL 60655-3327
(773) 253-9856
Mailing address
3848 W 108TH PL, CHICAGO, IL 60655-3945
(773) 791-3911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146017128
IL
Other
Enumeration date
10/03/2023
Last updated
10/17/2023
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