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OMAR JESSE MCKENZIE MD
NPI 1740030196
Student in an Organized Health Care Education/Training Program in Loves Park, IL

Active since March 26, 2024
7702 N ALPINE RD, LOVES PARK, IL 61111(815) 971-3397 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Omar Jesse Mckenzie Md NPPES

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

OMAR JESSE MCKENZIE MD (NPI 1740030196) is an individual student in an organized health care education/training program in Loves Park, Illinois and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1740030196
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOMAR JESSE MCKENZIECredential: MD
Location Address7702 N ALPINE RDLoves Park, IL 61111-3107
Mailing Address7702 N Alpine RdLoves Park, IL 61111-3107 · (815) 971-3397
Phone(815) 971-3397
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1740030196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7702 N ALPINE RD, Loves Park, IL 61111
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Other Providers at the Same Location NPPES 20

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

TRACY L. COLE MD
Internal Medicine
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000
ROBERT M. GLOVSKY MD
Internal Medicine
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000
ROMULO E. ORTEGA MD
Pediatrics
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000
MONICA MANHAS MD
Student in an Organized Health Care Education/Training Program
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-3397
DR. KEITH BALRAM SHANKAR M.D.
Student in an Organized Health Care Education/Training Program
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-2000
MS. NAMRATA ANAND MD
Student in an Organized Health Care Education/Training Program
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-3397
CHIMDINDU OKECHUKWU EMEKA-EMEH MD
Student in an Organized Health Care Education/Training Program
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-3397
DR. TOBIN JOHNSON CHEMPLAVIL DO
Student in an Organized Health Care Education/Training Program
7702 N ALPINE RD
LOVES PARK, IL 61111
Winnebago County (815) 971-3397

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 Omar Mckenzie's NPI number?

The NPI number for Omar Mckenzie is 1740030196. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Omar Mckenzie located?

Omar Mckenzie practices at 7702 N Alpine Rd, Loves Park, IL 61111. The listed phone number is (815) 971-3397.

What is Omar Mckenzie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Omar Mckenzie was last updated on March 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.