MISS MACKENZIE WILSON

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1396520326

Practice Address

1325 SYCAMORE RD
Dekalb, IL 60115

Phone: (815) 758-8616

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1396520326 is the National Provider Identifier for MISS MACKENZIE WILSON, a Student in an Organized Health Care Education/Training Program provider located in Dekalb, IL. This NPI was enumerated on August 28, 2023.
MISS MACKENZIE WILSON practices at 1325 SYCAMORE RD, Dekalb, IL 60115.

Quick Facts

NPI
1396520326
Type
Individual
Enumerated
Aug 28, 2023
Last Updated
Aug 28, 2023

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