| Patrycja Mazur, APN | |
|
1480 Jefferson St, Apt 202, Des Plaines, IL 60016-4485 | |
| (312) 731-3999 | |
| Not Available |
| Full Name | Patrycja Mazur |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1480 Jefferson St, Des Plaines, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922422328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.377064 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.011239 (Illinois) | Primary |
| Entity Name | Lake County Acute Care Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861599052 PECOS PAC ID: 5395747281 Enrollment ID: O20070206000313 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | Lake County Immediate Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285048975 PECOS PAC ID: 6204158280 Enrollment ID: O20141202000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrycja Mazur, APN 2160 S 1st Ave Bldg 6269, Loyola Univesity Medical Center, Maywood, IL 60153-3328 Ph: (312) 731-3999 | Patrycja Mazur, APN 1480 Jefferson St, Apt 202, Des Plaines, IL 60016-4485 Ph: (312) 731-3999 |
Caroline Odior Shodunola, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 595 Anita St # 595a, Des Plaines, IL 60016 Phone: 773-475-1210 | |
Ms. Susan A Mack, APRN-FPA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 Teela Ln, Des Plaines, IL 60016 Phone: 847-692-6000 Fax: 847-692-6112 | |
Nikola Driscoll, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 N Westgate Rd, Des Plaines, IL 60016 Phone: 773-899-0483 | |
Amitaben Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 Phone: 224-803-2273 | |
Sivani Patel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Danbury Ln, Des Plaines, IL 60018 Phone: 224-595-7813 | |
Mr. Ibrahim Aldasoqi, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Potter Rd, Des Plaines, IL 60016 Phone: 773-319-2317 | |
Purvi Gabhawala, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 N River Rd, Des Plaines, IL 60016 Phone: 847-290-1300 |