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Individual
MR. JOHN R. MAZUREK
Active
Individual
MR. JOHN R. MAZUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149002459
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627745
BC B S OF IL
IL
01
—
462293000
MAGELLAN MIS
IL
01
—
65820942
UNITED BEHAVIORAL HEALTH
IL
Enumeration date
08/21/2005
Last updated
06/23/2010
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