Search › Illinois › 2081P0010X
Mackenzie Lullo, AS, BAS, PTA
NPI 1063145712 · on the registry since 2022
Practice
- Address
- 23525 W Milton Rd
Wauconda, IL 60084 - Phone
- (847) 438-5400
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2081P0010X
2081P0010X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois