Individual
MACKENZIE KONZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3319 N ELSTON AVE, CHICAGO, IL 60618-5811
(312) 773-0883
Mailing address
123 N JEFFERSON ST UNIT 3F, CHICAGO, IL 60661-2343
(262) 914-5621
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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