Provider Demographics
NPI:1114780681
Name:MCKAY, JAMIE ANN
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ANN
Last Name:MCKAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:GAMBLE
Other - Last Name:MCKAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDS
Mailing Address - Street 1:505 E GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2069
Mailing Address - Country:US
Mailing Address - Phone:708-380-3027
Mailing Address - Fax:
Practice Address - Street 1:400 SKOKIE BLVD STE 245
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-7932
Practice Address - Country:US
Practice Address - Phone:847-630-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program