Individual
DR. KURTIS ALEXANDER MAYZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
13015 CONIFER ST, PLAINFIELD, IL 60585-2989
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036140519
IL
207P00000X
Emergency Medicine Physician
4301104552
MI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
4301104552
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301104552
MI
Other
Enumeration date
04/19/2011
Last updated
11/02/2018
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