Provider Demographics
NPI:1457605057
Name:MCNALLY AND GARA PSYCHIATRIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:MCNALLY AND GARA PSYCHIATRIC SOLUTIONS LLC
Other - Org Name:THE CENTER FOR COLLABORATIVE COUNSELING AND PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNALLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-440-2281
Mailing Address - Street 1:2401 HARNISH DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-6846
Mailing Address - Country:US
Mailing Address - Phone:847-440-2281
Mailing Address - Fax:224-241-8394
Practice Address - Street 1:2401 HARNISH DR STE 100
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-6846
Practice Address - Country:US
Practice Address - Phone:847-440-2281
Practice Address - Fax:224-241-8394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-04
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006833103TC0700X
IL0360887422084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty