Heywood, Mackenzie A

Heywood, Mackenzie A is an individual health care provider with primary practice located at 3132 Old Jacksonville Rd Ste 200 , Springfield IL 62704-7401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Heywood, Mackenzie A can be contacted via phone (217) 862-0800.

Contact Information

Primary practice address
3132 Old Jacksonville Rd Ste 200 Springfield IL 62704-7401
Phone: (217) 862-0800
Fax: (217) 862-0871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X D0097004 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.167992 Illinois

Profile Details

NPI number 1194352559
LBN Legal business name Heywood, Mackenzie A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated May 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194352559 NPPES
Illinois Other 036167992 MD

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