Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie A Heywood

Individual provider General Practice Physician · NPI 1194352559

Mackenzie A Heywood is a General Practice Physician in Springfield, Illinois. Works from 2 locations. Licensed in Illinois and Maryland.

Licensed in
IL, MD
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3132 Old Jacksonville Rd Ste 200
Springfield, IL 62704-7401
Phone: (217) 862-0800
Fax: (217) 862-0871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 S Greene St # N5w70, Baltimore, MD 21201-1544 — (410) 328-5213

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036.167992 (IL)
General Practice Physician Taxonomy 208D00000X · Licence D0097004 (MD)

Record details

NPI number1194352559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address3132 Old Jacksonville Rd Ste 200, Springfield, IL 62704-7401

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