Active NPI
Mack E. Winn and Associates Inc.
- Case Management Agency
- Lake Bluff, IL
National Provider Identifier
1235234329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 149003400
- Legal business name
- MACK E. WINN AND ASSOCIATES INC.
- Practice address
- 11 N Skokie Hwy Ste 111
Lake Bluff, IL 60044-1776 - Phone
- (847) 604-9451
- Fax
- (847) 604-9457
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mack E Winn, LCSW
- Title
- Owner/ President
- Phone
- (847) 604-9451
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 149003400 | IL | Primary |
Addresses
Primary practice location
11 N Skokie Hwy Ste 111
Lake Bluff, IL 60044-1776
Mailing address
11 N Skokie Hwy Ste 111
Lake Bluff, IL 60044-1776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149003400 | Other | IL | SOCIAL WORK LICENSE |
National Provider Directory
National Provider DirectoryLocations
11 N Skokie Hwy
Ste 111
Lake Bluff, IL 60044
Phone (847) 604-9451
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lake Bluff, IL
- NPI 1912002700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1235234329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 N SKOKIE HWY STE 111",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600441776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 N SKOKIE HWY STE 111",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600441776",
"telephone_number": "847-604-9451",
"fax_number": "847-604-9457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACK E. WINN AND ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "WINN",
"authorized_official_first_name": "MACK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/ PRESIDENT",
"authorized_official_telephone_number": "847-604-9451",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "IL",
"license": "149003400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "149003400",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Bluff, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.