Mckenzie Mallard
NPI 1174065080 · Developmental Therapist · Bourbonnais, IL
Mckenzie Mallard is a Developmental Therapist provider in Bourbonnais, IL (NPI 1174065080).
Provider details
- NPI number
- 1174065080
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 500 Fairway DrSuite 102Deerfield Beach, FL 33441-1814Phone: (888) 880-9270
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2019-08-12
Frequently asked questions
- What is Mckenzie Mallard's NPI number?
- Mckenzie Mallard's National Provider Identifier (NPI) is 1174065080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mckenzie Mallard's specialty?
- Mckenzie Mallard is listed in the NPPES registry with a primary specialty of Developmental Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mckenzie Mallard located?
- Mckenzie Mallard's practice location on file with NPPES is 598 Spring Park Loop, Bourbonnais, IL 60914-4968.
- What is Mckenzie Mallard's phone number?
- The practice phone number listed in the NPPES registry for Mckenzie Mallard is (815) 671-7092.
- Is Mckenzie Mallard's NPI active?
- Yes — Mckenzie Mallard's NPI (1174065080) is active in the NPPES registry as of the last update on 2019-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.