Organization
POUR CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE L MCKENZIE MCKENZIE (FOUNDER, EXECUTIVE DIRECTOR)
(708) 970-0358
Entity
Organization
Contact information
Practice address
16150 CICERO AVE STE 12, OAK FOREST, IL 60452-4136
(708) 439-3437
(708) 970-0358
Mailing address
16150 CICERO AVE STE 12, OAK FOREST, IL 60452-4136
(708) 439-3437
(708) 970-0358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
225400000X
Rehabilitation Practitioner
—
—
251B00000X
Case Management Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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