Individual
AJOYOI MAZERAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 W ROOSEVELT RD, CHICAGO, IL 60624-4343
(773) 826-2929
Mailing address
1516 S LAWNDALE AVE, CHICAGO, IL 60623-2078
(773) 940-7766
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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