Mazukelli, Michael Ronald

Mazukelli, Michael Ronald is an individual health care provider with primary practice located at 954 N Northwest Hwy , Park Ridge IL 60068-2358. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Mazukelli, Michael Ronald can be contacted via phone (847) 823-4045.

Contact Information

Primary practice address
954 N Northwest Hwy Park Ridge IL 60068-2358
Phone: (847) 823-4045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1386857191
LBN Legal business name Mazukelli, Michael Ronald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 18 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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