Individual
JUDITH LOUISE MAZION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
105 TERRACE CT, SOMONAUK, IL 60552-9700
(815) 498-2308
Mailing address
105 TERRACE CT, SOMONAUK, IL 60552-9700
(815) 498-2308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH2383
FL
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01915187
BCBS
IL
Enumeration date
06/28/2006
Last updated
11/05/2007
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