Provider Demographics
NPI:1881350304
Name:MIDWEST THERAPY PARTNERS PLLC
Entity type:Organization
Organization Name:MIDWEST THERAPY PARTNERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-791-2851
Mailing Address - Street 1:3100 W HIGGINS RD STE 175
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7244
Mailing Address - Country:US
Mailing Address - Phone:847-791-2851
Mailing Address - Fax:
Practice Address - Street 1:3100 W HIGGINS RD STE 175
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-7244
Practice Address - Country:US
Practice Address - Phone:847-791-2851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty