Individual
MCKENZIE MOSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153
(708) 216-1000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036156658
IL
2085R0202X
Diagnostic Radiology Physician
125.072167
IL
2085R0204X
Vascular & Interventional Radiology Physician
036156658
IL
Other
Enumeration date
03/19/2018
Last updated
11/25/2025
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