Organization
DOMINION CARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE L MCKENZIE MCKENZIE (MANAGER)
(708) 970-0358
Entity
Organization
Contact information
Practice address
16150 CICERO AVE STE 12, OAK FOREST, IL 60452-4136
(708) 970-0358
Mailing address
16150 CICERO AVE STE 12, OAK FOREST, IL 60452-4136
(708) 580-0119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/24/2026
Last updated
05/15/2026
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