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.

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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

Practice location

598 Spring Park Loop

Bourbonnais, IL 60914-4968

Phone: (815) 671-7092

Street-level locationGet directions

More IL providers

Mailing address

598 Spring Park Loop

Bourbonnais, IL 60914-4968

Specialties & taxonomies

Developmental TherapistPrimary222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Additional practice locations (1)

500 Fairway Dr
Suite 102
Deerfield Beach, FL 33441-1814
Phone: (888) 880-9270

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Frequently asked questions