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Contact Information

AYANNA J MCKINNON, MD
18 CHICAGO AVE
OAK PARK, IL60302
 Phone: 773-253-3933
 Fax: 773-437-6780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AYANNA J MCKINNON · (Female)

NPI Number 1912297573
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2011
Last updated 03/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-138620
  • IL Medicaid 036138620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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