Teresa Mckenzie, M.D., Llc

LBN: Teresa Mckenzie, M.D., Llc
Teresa Mckenzie, M.D., Llc is an health care organization with primary practice located at 7605 1/2 North Ave , River Forest IL 60305-1133. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Teresa Mckenzie, M.D., Llc can be contacted via phone (708) 366-4888, or through Mckenzie, Teresa via phone (708) 366-4888.

Contact Information

Primary practice address
7605 1/2 North Ave River Forest IL 60305-1133
Fax:
Website:
Authorized official contact:
Name: Mckenzie, Teresa Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1871754168
LBN Legal business name Teresa Mckenzie, M.D., Llc
DBA Doing business as
Authorized official Mckenzie, Teresa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2008
Last updated Jan 15th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871754168 NPPES
Illinois Other 208524 MEDICARE
Illinois Other 1639941 MEDICARE
Illinois MEDICAID 036076673 MEDICARE

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