Dr. John D Mazzarella
Foot and Ankle Orthopaedic Surgeon
3033 Ogden Ave Ste 110
Lisle
, Illinois 60532-1976
Dr. John D Mazzarella
Foot and Ankle Orthopaedic Surgeon
3033 Ogden Ave Ste 110
Lisle
, Illinois 60532-1976
(630) 355-3601
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. John D Mazzarella
- 3033 Ogden Ave Ste 110
- Lisle, IL
- Zip : 60532-1976
- Fax : (630) 355-3601
- Phone : (630) 355-3600
Second Address
- Dr. John D Mazzarella
- 3033 Ogden Ave Ste 110
- Lisle, IL
- Zip : 60532-1976
- Fax : (630) 355-3601
- Phone : (630) 355-3600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 016004364 | IL |
National Provider Identifier
| NPI | 1780748319 |
|---|---|
| Provider Name | Dr. John D Mazzarella |
| First Address | Lisle, IL 60532-1976 |
| Second Address | Lisle, IL 60532-1976 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 02/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.