DR. JOHN D MCKENZIE JR. M.D.
NPI 1003853748
Specialist in Park Ridge, IL

Active since June 01, 2006PECOS Enrolled
1600 W DEMPSTER ST, PARK RIDGE, IL 60068(847) 894-0467(847) 925-0292 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John D Mckenzie Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN D MCKENZIE JR. M.D. (NPI 1003853748) is an individual specialist in Park Ridge, Illinois, licensed in Illinois (036058544) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003853748
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN D MCKENZIE JR.Credential: M.D.
Location Address1600 W DEMPSTER STPark Ridge, IL 60068-1109
Mailing Address5795 N Corona DrPalatine, IL 60067-7370 · (847) 894-0467 · Fax (847) 925-0292
Fax(847) 925-0292
Sole ProprietorYes
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
NPI 1003853748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036058544
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1600 W DEMPSTER ST, Park Ridge, IL 60068

Other Identifiers 1

Medicaid036058544IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John D Mckenzie Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Repair of sliding groin hernia 49525
A sliding groin hernia repair is a surgical procedure to fix a bulge in the lower abdomen. This bulge is caused by tissue pushing through a weak spot in the abdominal wall. The surgery strengthens the weak area to prevent future bulges from forming.
11 services11 patients

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1600 W DEMPSTER ST, SUITE 120
PARK RIDGE, IL 60068
Clinic/Center (Health Service)
1600 W DEMPSTER ST, SUITE 120
PARK RIDGE, IL 60068
Physician Assistant
1600 W DEMPSTER ST
PARK RIDGE, IL 60068
Dentist (General Practice)
1600 W DEMPSTER ST
PARK RIDGE, IL 60068
Dentist
1600 W DEMPSTER ST, LL1
PARK RIDGE, IL 60068
Podiatrist
1600 W DEMPSTER ST, SUITE 120
PARK RIDGE, IL 60068
Specialist
1600 W DEMPSTER ST, SUITE 120
PARK RIDGE, IL 60068
Massage Therapist
1600 W DEMPSTER ST, SUITE 106
PARK RIDGE, IL 60068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mckenzie's NPI number?

The NPI number for John Mckenzie is 1003853748. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is John Mckenzie located?

John Mckenzie practices at 1600 W Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 894-0467.

What is John Mckenzie's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Mckenzie enrolled in Medicare?

Yes. John Mckenzie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Mckenzie was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.