Individual
MAZOUZAH OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(708) 928-3421
Mailing address
8148 W 111TH ST APT B1, PALOS HILLS, IL 60465-3234
(708) 928-3421
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209021046
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277003454
IL
Other
Enumeration date
03/17/2020
Last updated
01/23/2026
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