Mackenzie Ann Lullo, AS, BAS, PTA
Mackenzie Ann Lullo, AS, BAS, PTA is a Pediatric Rehabilitation Medicine Physician in Wauconda, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
23525 W Milton RdWauconda, IL 60084-2619
Phone: (847) 438-5400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Rehabilitation Medicine Physician (primary) | Taxonomy 2081P0010X · Licence 160.009537 (IL) |
|---|
Record details
| NPI number | 1063145712 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AS , BAS , PTA |
| Sole proprietor | No |
| NPI enumerated | July 8, 2022 |
| Last updated in NPPES | July 8, 2022 |
| Certification date | July 8, 2022 |