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Organization

PALOS PEDIATRIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAZEN RACHID MD (PEDIATRICIAN)
(708) 424-7601
Entity
Organization

Contact information

Practice address
4700 W 95TH ST. STE 301, OAK LAWN, IL 60453
(708) 424-7601
(708) 675-1008
Mailing address
4700 W 95TH ST. STE 301, OAK LAWN, IL 60453
(708) 424-7601
(708) 675-1008

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036099854
IL
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/11/2012
Last updated
01/31/2024
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