Mackinnon, David Preston

Mackinnon, David Preston is an sole proprietor health care provider with primary practice located at 244 E Ogden Ave Suite 11, Hinsdale IL 60521-3648. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Mackinnon, David Preston can be contacted via phone (630) 325-4770.

Contact Information

Primary practice address
244 E Ogden Ave Suite 11 Hinsdale IL 60521-3648
Fax: (630) 325-4663
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Illinois

Profile Details

NPI number 1336156744
LBN Legal business name Mackinnon, David Preston
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336156744 NPPES
Illinois Other 0002232831 BLUE CROSS/BLUE SHIELD ID

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