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Ms. Mishelle A. Mazzone, PT
Specialist in Chicago Ridge, Illinois
NPI 1902044209

Mishelle A. Mazzone is a Specialist based in Chicago Ridge, IL. Mishelle A. Mazzone practices in Chicago Ridge, IL and has the professional credentials of PT. The NPI Number for Mishelle A. Mazzone is 1902044209 and holds a License No. 070005096 (Illinois).

The current practice location address for Mishelle A. Mazzone is 10308 Lyman Ave, Chicago Ridge, IL and can be reached out via phone at 708-209-9509.

Location: 10308 Lyman Ave, Chicago Ridge, IL, 60415-1687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902044209
Provider Name
Mishelle A. Mazzone
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
10308 Lyman Ave, Chicago Ridge, IL, 60415-1687
Phone Number
708-209-9509
Fax Number
Provider Enumeration Date
01/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10308 Lyman Ave
City
Chicago Ridge
State
Illinois
Zip
60415-1687
Phone Number
708-209-9509
Fax Number
person
Provider Business Mailing Address Details
Address
10308 Lyman Ave
City
Chicago Ridge
State
Illinois
Zip
60415-1687
Phone Number
708-209-9509
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
070005096 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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