Organization Name: | MCNALLY AND GARA PSYCHIATRIC |
NPI Number: | 1457605057 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH MCNALLY (PRESIDENT) |
Mailing Address: | 1400 E Irving Park Rd Streamwood |
State: | IL US |
Postal Code: | 601073201 |
Phone Number: | 6308379000 |
Fax Number: | 7737512250 |
NPI Enumeration Date: | 11/04/2012 |
NPI Last Update Date: | 11/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071006833 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |