| Mazouzah Omar, DNP | |
|
1620 W Harrison St, Chicago, IL 60612-3801 | |
| (708) 928-3421 | |
| Not Available |
| Full Name | Mazouzah Omar |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1620 W Harrison St, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497381941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 209021046 (Illinois) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277003454 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiorenal Therapeutics Of Illinois Pllc | 5395159677 | 32 |
| Primary Care Physicians Of Joliet Sc | 5193078095 | 18 |
| Entity Name | Rush University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Entity Name | Primary Care Physicians of Joliet SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912473604 PECOS PAC ID: 5193078095 Enrollment ID: O20181023001191 |
| Entity Name | Cardiorenal Therapeutics of Illinois PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336752682 PECOS PAC ID: 5395159677 Enrollment ID: O20210127003081 |
| Entity Name | Matrix Mental Health Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467212860 PECOS PAC ID: 6204378714 Enrollment ID: O20240611003430 |
| Mailing Address | Practice Location Address |
|---|---|
| Mazouzah Omar, DNP 8148 W 111th St Apt B1, Palos Hills, IL 60465-3234 Ph: (708) 928-3421 | Mazouzah Omar, DNP 1620 W Harrison St, Chicago, IL 60612-3801 Ph: (708) 928-3421 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 |
Cynthia Phillips, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2003 W Fulton St Ste 505, Chicago, IL 60612 Phone: 312-243-2223 |
Jessica Lauren Offenbach, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 312-227-4000 |
Ms. Jenny Ko Lee, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 847-962-6268 |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 W Grand Ave Ste B, Chicago, IL 60612 Phone: 708-630-1534 Fax: 888-517-8619 |
Stacy Ervin, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 |
Mr. Joshua Bryan Dunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 W Harrison St, Chicago, IL 60607 Phone: 312-942-5904 |