MACKENZIE LEIGH SKOUMAL

ROCKFORD, IL
NPI1184418659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  070029010)
Enumeration Date2025-04-08
Last Update Date2025-04-08
Business Address
MACKENZIE LEIGH SKOUMAL
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 779-696-4595
Mailing Address
MACKENZIE LEIGH SKOUMAL
1726 S COLUMBIAN RD
OREGON, IL 61061-9211
Phone number: 815-217-5466