Organization Active NPI

Mack E. Winn and Associates Inc.

  • Case Management Agency
  • Lake Bluff, IL
National Provider Identifier
1235234329
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
149003400 Issued in IL
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

Updated by the provider on Aug 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mack E Winn, LCSWNPI 1912002700
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149003400OtherILSOCIAL WORK LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.