Individual
MR. ZIEMOWIT MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
230 CENTER DRIVE, VERNON HILLS, IL 60061
(708) 527-5329
Mailing address
4 KNOLLWOOD DR, FLOSSMOOR, IL 60422-1928
(708) 527-5329
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
385.002623
IL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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