Dominique Mckenzie

NPI 1902735053 · on the registry since 2026 · sole proprietor

Practice

Address: 16150 Cicero Ave Ste 12
Oak Forest, IL 60452
Phone: (708) 439-3437
Organisation at this address: Pour Connections
Dominion Care Network Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 171M00000X
171M00000X
Also registered as: 171400000X
251C00000X
172V00000X
373H00000X
374U00000X
376J00000X
3747P1801X
251S00000X
175T00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-05-15

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