Individual
PEGGY MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
203 W HILLSIDE RD, NAPERVILLE, IL 60540-6500
(630) 420-6524
Mailing address
203 W HILLSIDE RD, NAPERVILLE, IL 60540-6500
(630) 420-6524
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041183124
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1058956
IEIN
—
Enumeration date
08/23/2016
Last updated
08/23/2016
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