Mazur, Lauren E

Mazur, Lauren E is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400, Chicago IL 60612-3841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mazur, Lauren E can be contacted via phone (312) 243-4244.

Contact Information

Primary practice address
1611 W Harrison St Ste 400 Chicago IL 60612-3841
Phone: (312) 243-4244
Fax: (312) 942-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085002391 Illinois

Profile Details

NPI number 1629025978
LBN Legal business name Mazur, Lauren E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Aug 4th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629025978 NPPES
Illinois Other 209119 MEDICARE PTAN LOCALITY 16
Illinois Other 209118 MEDICARE PTAN LOCALITY 16

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