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NPI Code Detail

MEDICARE: CHERYL H MCNALLY NCSP, I/ECMHC

MEDICARE: CHERYL H MCNALLY NCSP, I/ECMHC
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
1103TS0200XSchool Psychologist1841846IL

General Provider Information

NPI Number : 1790620151
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL H MCNALLY NCSP, I/ECMHC
Provider Business Mailing Address
First Line : 2857 W WILSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3742
Country : US
Telephone Number : 773-771-2231
Fax Number :
Provider Business Practice Location Address
First Line : 4611 N RAVENSWOOD AVE STE 105
Second Line :
City : CHICAGO
State : IL
Zip : 60640-7569
Country : US
Telephone Number : 312-899-6226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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