Mazulis, Andrew
Mazulis, Andrew is an individual health care provider with primary practice located at 825 S Milwaukee Ave , Libertyville IL 60048-3218. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Mazulis, Andrew can be contacted via phone (847) 573-2845.Contact Information
Primary practice address
825 S Milwaukee Ave
Libertyville IL 60048-3218
Phone: (847) 573-2845
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1699031583 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 69801-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036-135984 | Illinois |
Profile Details
| NPI number | 1699031583 |
|---|---|
| LBN Legal business name | Mazulis, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2012 |
| Last updated | Jan 5th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699031583 | NPPES |
| Wisconsin | Other | 69801-20 | LICENSE |
| Wisconsin | MEDICAID | 1699031583 | LICENSE |
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