MCKENZIE MALLARD – Developmental Therapist, NPI 1174065080

MCKENZIE MALLARD is a healthcare provider. based in Bourbonnais, Illinois. specializing in Developmental Therapist. The NPI Number for MCKENZIE MALLARD is 1174065080

Main info

Female
Name
MCKENZIE MALLARD
NPI
1174065080
Phone
(815) 671-7092
Address
598 SPRING PARK LOOP
Enumeration Date
9 November 2016
Last Update Date
12 August 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

Provider Addresses for MCKENZIE MALLARD

  • 598 SPRING PARK LOOP

    BOURBONNAIS, IL 609144968

    Phone: (815) 671-7092

    Type: Mailing

  • 500 Fairway Dr

    Suite 102

    Deerfield Beach, FL 334411814

    Phone: (888) 880-9270

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60914)

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Reviews

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Frequently asked questions

What federal number belongs to MCKENZIE MALLARD?
The federal identifier for MCKENZIE MALLARD is NPI 1174065080.
Is MCKENZIE MALLARD active in the national directory?
MCKENZIE MALLARD's public NPI profile is in an active state.
What kind of provider is MCKENZIE MALLARD?
The page reflects Developmental Therapist for MCKENZIE MALLARD. Clinical services aligned with this taxonomy classification.
Does MCKENZIE MALLARD practice in Illinois?
You will see Bourbonnais, Illinois on file for MCKENZIE MALLARD alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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