Provider Demographics
NPI:1649306176
Name:M. MARK MCKEE, PSY.D. & ASSOCIATES, PC
Entity type:Organization
Organization Name:M. MARK MCKEE, PSY.D. & ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:M.
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-245-1440
Mailing Address - Street 1:1754 N WASHINGTON ST
Mailing Address - Street 2:SUITE104A
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1334
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1754 N WASHINGTON ST
Practice Address - Street 2:SUITE104A
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1334
Practice Address - Country:US
Practice Address - Phone:630-245-1440
Practice Address - Fax:630-245-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X, 103TC0700X, 103TC0700X, 103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty