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NPI Code Detail

MEDICARE: KATHERINE MCNEIL PSYD

MEDICARE: KATHERINE MCNEIL PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071011337IL

General Provider Information

NPI Number : 1124602867
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MCNEIL PSYD
Provider Business Mailing Address
First Line : 566 W LAKE ST STE 200
Second Line :
City : CHICAGO
State : IL
Zip : 60661-1413
Country : US
Telephone Number : 630-607-0387
Fax Number :
Provider Business Practice Location Address
First Line : 566 W LAKE ST STE 200
Second Line :
City : CHICAGO
State : IL
Zip : 60661-1413
Country : US
Telephone Number : 630-607-0387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 02/10/2026

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Directions to “ KATHERINE MCNEIL PSYD” Practice Location

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