Mackenzie Ann Lullo is a Wauconda, Illinois based physiatrist who is specialized in Pediatric Rehabilitation Medicine (PM&R). Active license number of Mackenzie Ann Lullo as Pediatric Rehabilitation Medicine (PM&R) is 160.009537 in Illinois.
Mackenzie Ann Lullo also utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Complete Profile:
Mackenzie Ann Lullo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Pediatric Rehabilitation Medicine (PM&R)
Credentials:
AS, BAS, PTA
Gender:
Female
Practice Address:
23525 W Milton Rd, Wauconda, Illinois, 60084-2619
Phone:
847-438-5400
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1063145712
NPI Enumeration Date:
08 Jul, 2022
NPI Last Update On:
08 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mackenzie Ann Lullo are as mentioned below.
License Number
Specialization
State
Status
160.009537
Pediatric Rehabilitation Medicine
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mackenzie Ann Lullo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1003094996
Other
Illinois
PEDIATRICS IN MOTION
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1513 Evergreen St, Holiday Hills, Illinois
Zip:
60051-9128
Phone Number:
815-861-0856
Fax Number:
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Patients can reach Mackenzie Ann Lullo at 23525 W Milton Rd, Wauconda, Illinois or can call to book an appointment on 847-438-5400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.