Michael R. Mazukelli, Dds, P.C.

LBN: Michael R. Mazukelli, Dds, P.C.
Michael R. Mazukelli, Dds, P.C. is an health care organization with primary practice located at 954 N Northwest Hwy , Park Ridge IL 60068-2358. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. Michael R. Mazukelli, Dds, P.C. can be contacted via phone (847) 823-4045, or through Mazukelli, Michael 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
Authorized official contact:
Name: Mazukelli, Michael
Phone: (847) 823-4045

Health care specialties

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

Profile Details

NPI number 1235342064
LBN Legal business name Michael R. Mazukelli, Dds, P.C.
DBA Doing business as
Authorized official Mazukelli, Michael
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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