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General NPI Number Information
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NPI Number | 1124602867
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Entity Type | Individual
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Provider Name | KATHERINE MCNEIL PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 566 W LAKE ST STE 200
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City | CHICAGO
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State | IL
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Zip | 60661-1413
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Country | US
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Telephone | 630-607-0387
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Fax |
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Provider Business Mailing Address
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Address Line | 566 W LAKE ST STE 200
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City | CHICAGO
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State | IL
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Zip | 60661-1413
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Country | US
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Telephone | 630-607-0387
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071011337
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License Number State | IL
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