Individual
KELSEY MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 W HARRISON ST # 300, CHICAGO, IL 60612-4861
(877) 632-6637
Mailing address
1 WESTBROOK CORPORATE CTR, STE 240, WESTCHESTER, IL 60154-5745
(708) 236-2673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
04/27/2021
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