Individual
DR. MICHAEL RONALD MAZUKELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
954 N NORTHWEST HWY, PARK RIDGE, IL 60068-2358
(847) 823-4045
Mailing address
954 N NORTHWEST HWY, PARK RIDGE, IL 60068-2358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
IL
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/08/2007
Last updated
09/11/2025
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