Mckenzie, Teresa

Mckenzie, Teresa is an individual health care provider with primary practice located at 7605 1/2 North Ave , River Forest IL 60305-1133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mckenzie, Teresa can be contacted via phone (708) 366-4888.

Contact Information

Primary practice address
7605 1/2 North Ave River Forest IL 60305-1133
Phone: (708) 366-4888
Fax: (708) 366-7510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036076673 Illinois

Profile Details

NPI number 1366488033
LBN Legal business name Mckenzie, Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 15th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366488033 NPPES
Illinois Other 208524 MEDICARE
Illinois Other 1639941 MEDICARE
Illinois MEDICAID 036076673 MEDICARE

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