MS. DIANE E MCKENZIE NP NPI 1750476248

NPI Information

  • NPI: 1750476248
  • Provider Name: MS. DIANE E MCKENZIE, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11200 W LINCOLN HWY
    MOKENA, IL
    ZIP 60448
  • Phone: (815) 464-2171

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NPI Details

MS. Diane E Mckenzie, NP is a family nurse practitioner in Mokena, IL. MS. Diane E Mckenzie, NP NPI is 1750476248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11200 W LINCOLN HWY
MOKENA, IL
ZIP 60448-208
Phone: (815) 464-2171
Fax: (815) 464-2176

The NPI 1750476248 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209003923ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q40837MEDICARE UPIN
2209003923MEDICAIDILLINOIS
3K46563MEDICARE PINILLINOIS
4K16467MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
5K46562MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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