Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN D MAZZARELLA, D.P.M.
Active Sole ProprietorDR. JOHN D MAZZARELLA, D.P.M. is a Sports Medicine (Orthopaedic) healthcare provider located in LISLE, Illinois. NPI 1780748319 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · LISLE, IL
Registration Details
- NPI Number
- 1780748319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2006 (19.695008401005 yrs)
- Last Updated
- Jul 21, 2022
- License
-
016004364 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3033 OGDEN AVESTE 110LISLE, IL, 605321976Browse IL providers · Browse ZIP 60532
- Phone
- 6303553600
- Fax
- 6303553601
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.