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Contact Information

JOHN D MAZZARELLA, DPM
3033 OGDEN AVE
STE 110
LISLE, IL60532-1976
 Phone: 630-355-3600
 Fax: 630-355-3601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN D MAZZARELLA · (Male)

NPI Number 1780748319
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 12/20/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016004364
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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