Individual
MRS. SANDRA ANN MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
130 N WEBER RD, SUITE 112, BOLINGBROOK, IL 60440-1564
(630) 378-3400
(630) 378-3449
Mailing address
130 N WEBER RD STE 100, BOLINGBROOK, IL 60440-1519
(630) 646-5777
(630) 646-5729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209-001598
IL
363L00000X
Nurse Practitioner
Primary
209001598
IL
Other
Enumeration date
10/04/2005
Last updated
05/04/2026
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