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NPI Code Detail

MEDICARE: SHEILA MACKIE

MEDICARE: SHEILA MACKIE
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
11041C0700XClinical Social Worker149026601IL

General Provider Information

NPI Number : 1659003184
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA MACKIE
Provider Business Mailing Address
First Line : 800 E 55TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60615-4906
Country : US
Telephone Number : 773-702-2193
Fax Number :
Provider Business Practice Location Address
First Line : 800 E 55TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60615-4906
Country : US
Telephone Number : 773-702-2193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2022
Last Update Date : 01/26/2026

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Directions to “ SHEILA MACKIE ” Practice Location

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