Kawji, Mazen

Kawji, Mazen is an individual health care provider with primary practice located at 1890 Silver Cross Blvd Pavilion A Suite 240, New Lenox IL 60451-9524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kawji, Mazen can be contacted via phone (815) 740-1900.

Contact Information

Primary practice address
1890 Silver Cross Blvd Pavilion A Suite 240 New Lenox IL 60451-9524
Fax: (815) 725-2413
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036097964 Illinois

Profile Details

NPI number 1518915842
LBN Legal business name Kawji, Mazen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 19th, 2021 - about 3 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 1518915842 NPPES
Illinois MEDICAID 036097964

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