Mckenzie, Diane E
Mckenzie, Diane E is an individual health care provider with primary practice located at 11200 W Lincoln Hwy , Mokena IL 60448-8208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mckenzie, Diane E can be contacted via phone (815) 464-2171.Contact Information
Primary practice address
11200 W Lincoln Hwy
Mokena IL 60448-8208
Phone: (815) 464-2171
Fax: (815) 464-2176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209003923 | Illinois |
Profile Details
| NPI number | 1750476248 |
|---|---|
| LBN Legal business name | Mckenzie, Diane E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 13th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750476248 | NPPES |
| Illinois | MEDICAID | 209003923 |
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