Mazur, Sandra A
Mazur, Sandra A is an individual health care provider with primary practice located at 130 N Weber Rd Suite 112, Bolingbrook IL 60440-1564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mazur, Sandra A can be contacted via phone (630) 378-3400.Contact Information
Primary practice address
130 N Weber Rd Suite 112
Bolingbrook IL 60440-1564
Phone: (630) 378-3400
Fax: (630) 378-3449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 209-001598 | Illinois |
Profile Details
| NPI number | 1588651509 |
|---|---|
| LBN Legal business name | Mazur, Sandra A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jan 13th, 2021 - about 4 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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