Mazurkiewicz, Evan B
Mazurkiewicz, Evan B is an individual health care provider with primary practice located at 20201 Crawford Ave , Olympia Fields IL 60461-1010. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mazurkiewicz, Evan B can be contacted via phone (708) 855-8007.Contact Information
Primary practice address
20201 Crawford Ave
Olympia Fields IL 60461-1010
Phone: (708) 855-8007
Fax: (708) 503-3241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 125.081614 | Illinois |
Profile Details
| NPI number | 1942905435 |
|---|---|
| LBN Legal business name | Mazurkiewicz, Evan B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2023 |
| Last updated | May 5th, 2023 - about 2 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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