Individual
MR. IAN V MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.A.-C
Contact information
Practice address
9669 KENTON AVE STE 209, SKOKIE, IL 60076-1226
(847) 679-8000
Mailing address
9669 KENTON AVE STE 209, SKOKIE, IL 60076-1226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001699
IL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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