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General NPI Number Information
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NPI Number | 1235052929
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Entity Type | Individual
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Provider Name | ANTINEY D MCKINNEY PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 3416 S HALSTED ST
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City | CHICAGO
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State | IL
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Zip | 60608-6708
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Country | US
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Telephone | 773-823-9434
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Fax | 773-296-1097
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Provider Business Mailing Address
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Address Line | 2817 N 75TH AVE APT 1S
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-1632
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2025100518
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License Number State | IL
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