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

McKenzie Mallard

Individual provider Developmental Therapist · NPI 1174065080

McKenzie Mallard is a Developmental Therapist in Bourbonnais, Illinois. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

598 Spring Park Loop
Bourbonnais, IL 60914-4968
Phone: (815) 671-7092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Fairway Dr, Deerfield Beach, FL 33441-1814 — (888) 880-9270

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1174065080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2016
Last updated in NPPESAugust 12, 2019
Mailing address598 Spring Park Loop, Bourbonnais, IL 60914-4968

Other providers in Bourbonnais