Baldock, Mackenzie

Baldock, Mackenzie is an individual health care provider with primary practice located at 110 Carver Ln , East Peoria IL 61611-3052. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Baldock, Mackenzie can be contacted via phone (309) 282-6704.

Contact Information

Primary practice address
110 Carver Ln East Peoria IL 61611-3052
Phone: (309) 282-6704
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 56.012879 Illinois

Profile Details

NPI number 1801318050
LBN Legal business name Baldock, Mackenzie
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2017
Last updated Jul 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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