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Dr. Lisa C. Mazzullo, MD
Specialist in Chicago, Illinois
NPI 1952354342

Lisa C. Mazzullo is a Specialist based in Chicago, IL. Lisa C. Mazzullo practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Lisa C. Mazzullo is 1952354342 and holds a License No. (Illinois).

The current practice location address for Lisa C. Mazzullo is 737 N Michigan Ave, Chicago, IL and can be reached out via phone at 312-751-7515 and via fax at 312-751-1208.

Location: 737 N Michigan Ave, Chicago, IL, 60610-3360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952354342
Provider Name
Lisa C. Mazzullo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
737 N Michigan Ave, Chicago, IL, 60610-3360
Phone Number
312-751-7515
Fax Number
312-751-1208
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
737 N Michigan Ave
City
Chicago
State
Illinois
Zip
60611-2615
Phone Number
312-751-7515
Fax Number
312-751-1208
person
Provider Business Mailing Address Details
Address
737 N Michigan Ave
City
Chicago
State
Illinois
Zip
60611-2615
Phone Number
312-751-7515
Fax Number
312-751-1208
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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