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LAUREN E MAZUR PA-C NPI 1629025978


NPI Profile

NPI: 1629025978
Provider Name: LAUREN E MAZUR, PA-C
Classification:Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: MIDWEST ORTHOPAEDICS AT RUSH LLC

PECOS Registration: Yes

Address:
1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612
Get Directions

Phone: (312) 243-4244

Lauren E Mazur, PA-C is a surgical physician assistant in Chicago, IL with 17 years of experience. Lauren E Mazur, PA-C NPI is 1629025978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612-841
Phone: (312) 243-4244
Fax: (312) 942-1517

The NPI 1629025978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 8/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical085002391ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1209119OTHERILLINOISMEDICARE PTAN LOCALITY 16
2209118OTHERILLINOISMEDICARE PTAN LOCALITY 15
3K16178MEDICARE PINILLINOIS
4K16177MEDICARE PINILLINOIS
5Q39897MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 1/10/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.