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Contact Information

ZIEMOWIT MAZUR, PA-C
230 CENTER DRIVE
VERNON HILLS, IL60061
 Phone: 708-527-5329
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ZIEMOWIT MAZUR · (Male)

NPI # 1407158033
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/02/2010
Last updated 12/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 385.002623
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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