Mazurek, John R.
Mazurek, John R. is an sole proprietor health care provider with primary practice located at 637 E Golf Rd Suite 210, Arlington Heights IL 60005-4967. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mazurek, John R. can be contacted via phone (847) 357-9611.Contact Information
Primary practice address
637 E Golf Rd Suite 210
Arlington Heights IL 60005-4967
Phone: (847) 357-9611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149002459 | Illinois |
Profile Details
| NPI number | 1194717553 |
|---|---|
| LBN Legal business name | Mazurek, John R. |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2005 |
| Last updated | Jun 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194717553 | NPPES |
| Illinois | Other | 462293000 | MAGELLAN MIS |
| Illinois | Other | 65820942 | MAGELLAN MIS |
| Illinois | Other | 01627745 | MAGELLAN MIS |
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