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Individual

DOMINIQUE MCKENZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16150 CICERO AVE STE 12, OAK FOREST, IL 60452-4136
(708) 439-3437
Mailing address
3202 BIRCHWOOD DR, HAZEL CREST, IL 60429-1033
(708) 580-0119

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
Primary
IL
172V00000X
Community Health Worker
175T00000X
Peer Specialist
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
IL
373H00000X
Day Training/Habilitation Specialist
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
05/15/2026
Last updated
05/15/2026
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