Individual
DR. JOHN D MCKENZIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W DEMPSTER ST, PARK RIDGE, IL 60068-1109
(847) 894-0467
(847) 925-0292
Mailing address
5795 N CORONA DR, PALATINE, IL 60067-7370
(847) 894-0467
(847) 925-0292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036058544
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058544
—
IL
Enumeration date
06/01/2006
Last updated
08/12/2024
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