Provider Demographics
NPI:1316480247
Name:MCKENZIE, DR. AARON (MSW, PHD)
Entity type:Individual
Prefix:DR
First Name:DR. AARON
Middle Name:
Last Name:MCKENZIE
Suffix:
Gender:M
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 PEYTON DR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411-1183
Mailing Address - Country:US
Mailing Address - Phone:847-344-4197
Mailing Address - Fax:
Practice Address - Street 1:64 PEYTON DR
Practice Address - Street 2:
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-1183
Practice Address - Country:US
Practice Address - Phone:847-344-4197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-25
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker