Individual
MRS. AKILIA D. T. MCCAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
10702 S WESTERN AVE, CHICAGO, IL 60643-3136
(773) 779-5800
Mailing address
7226 INDIAN BOUNDARY, GARY, IN 46403-1203
(219) 939-8655
(219) 939-8994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-006026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146-006026
STATE LICENSE
IL
Enumeration date
08/05/2006
Last updated
07/08/2007
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