Search › Illinois › 1041C0700X
Mackenzie Wilson
NPI 1396520326 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1325 Sycamore Rd
Dekalb, IL 60115 - Phone
- (815) 758-8616
- Organisation at this address
- Family Service Agency Of Dekalb County, Inc.
Family Service Agency Of Dekalb County, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Sex
- Female
- Record last updated
- 2026-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois