Omar Jesse Mckenzie, MD - Loves Park, IL

Omar Jesse Mckenzie, MD

Student in an Organized Health Care Education/Training Program in Loves Park, Illinois

NPI 1740030196

Omar Jesse Mckenzie is a Student in an Organized Health Care Education/Training Program based in Loves Park, IL. Omar Jesse Mckenzie practices in Loves Park, IL and has the professional credentials of MD. The NPI Number for Omar Jesse Mckenzie is 1740030196 and holds a License No. (Illinois).

The current practice location address for Omar Jesse Mckenzie is 7702 N Alpine Rd, Loves Park, IL and can be reached out via phone at 815-971-3397.

Location: 7702 N Alpine Rd, Loves Park, IL, 61111-3107

NPI Number

1740030196

Provider Name

Omar Jesse Mckenzie

Credential

Provider Entity Type

Individual

Gender

Male

Address

7702 N Alpine Rd, Loves Park, IL, 61111-3107

Phone Number

815-971-3397

Fax Number

Provider Enumeration Date

03/26/2024

Last Update Date

04/14/2024

Address

7702 N Alpine Rd

City

Loves Park

State

Illinois

Zip

61111-3107

Phone Number

815-971-3397

Fax Number

Address

7702 N Alpine Rd

City

Loves Park

State

Illinois

Zip

61111-3107

Phone Number

815-971-3397

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

(Illinois)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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