Individual
EVAN B MAZURKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 855-8007
(708) 503-3241
Mailing address
1640 N NORTH PARK AVE APT 3, CHICAGO, IL 60614-8085
(219) 728-9024
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.081614
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
05/05/2023
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