Individual
DONOVAN MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 W LAWRENCE AVE STE A, CHICAGO, IL 60625-1582
(773) 887-6447
Mailing address
1465 W WINONA ST APT 2, CHICAGO, IL 60640-6817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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