Individual provider Active NPI

Abdul Hussein Ali Mazin, M.D.

  • Neurology Physician
  • Chicago, IL
National Provider Identifier
1477500056
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036118947 Issued in IL
Practice address
1801 W Taylor St
Chicago, IL 60612-4795
Phone
(312) 996-4150
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036118947 IL
Epilepsy Physician 2084E0001X 036118947 IL
Neurology Physician 2084N0400X 35C.000633 OH
Neurology Physician 2084N0400X 2023-03260 NC
Neurology Physician 2084N0400X 3035 WI
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 036118947 IL
Clinical Neurophysiology Physician 2084N0600X 036118947 IL
Neurology Physician 2084N0400X 036118947 IL Primary

Addresses

Primary practice location

1801 W Taylor St
Chicago, IL 60612-4795

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Other practice location 1

130 2nd St
Neenah, WI 54956-2883
Phone (920) 720-7320

Other practice location 2

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8000

Other practice location 3

2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Other practice location 4

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amazin91469@direct.luhs.org Direct
Direct Messaging Address amazin91469@direct.luhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NE, KY, NC, IN, WI, MN, OH, PA9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20080627000435 IL Practitioner - NeurologyPractitioner - Pediatric Medicine 0749352268 Reassigns benefits to 13 organizations
I20221123002496 NE Practitioner - NeurologyPractitioner - Pediatric Medicine 0749352268 Reassigns benefits to 1 organization
I20230619000417 KY Practitioner - Neurology 0749352268 Reassigns benefits to 2 organizations
I20231214002082 NC Practitioner - Neurology 0749352268 Reassigns benefits to 2 organizations
I20231228003737 IN Practitioner - Neurology 0749352268 Reassigns benefits to 1 organization
I20240212000196 WI Practitioner - Neurology 0749352268 Reassigns benefits to 2 organizations
I20240827001405 MN Practitioner - Neurology 0749352268 Reassigns benefits to 1 organization
I20250909000275 OH Practitioner - Neurology 0749352268 Reassigns benefits to 1 organization
I20260508003800 PA Practitioner - Neurology 0749352268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians
NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians

Practice addresses (Care Compare)

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

1720 Nicholasville Rd
Suite 601
Lexington, KY 40503-1451
Phone (859) 277-5887

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

1850 State St
New Albany, IN 47150-4990
Phone (812) 542-4921

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8124

729 S Harvey Ave
Oak Park, IL 60304-1518
Phone (920) 720-7320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036118947ILMDEpilepsy Physician
2023-03260NCMDNeurology Physician
35C.000633OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Neurology CurrentSince Dec 1, 2023 Accepting new patients
SCH Professional Corporation Pediatrics CurrentSince Aug 10, 2023 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Loyola University Medical Center CurrentSince Mar 30, 2018 Accepting new patients
Cook County Pediatrics CurrentSince Feb 15, 2024 Accepting new patients
Lakewood Health System CurrentSince Sep 27, 2024 Accepting new patients
Kentuckyone Health Medical Group, Inc. Pediatrics CurrentSince Nov 1, 2025 Accepting new patients
Unmc Physicians CurrentSince Nov 8, 2022 Accepting new patients
Thedacare, Incorporated CurrentSince Jun 20, 2023 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
The Board of Trustees of the University of Illinois Pediatrics CurrentSince May 23, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince May 23, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Wakemed CurrentSince Jul 16, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Sep 1, 2023 Accepting new patients
Cook County Current Accepting new patients
Methodist Medical Center of Illinois Pediatrics CurrentSince Sep 1, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 16, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 16, 2026 Accepting new patients
Pomerene Hospital CurrentSince Jul 21, 2025 Accepting new patients
NHCS Physicians Inc CurrentSince Nov 7, 2023 Accepting new patients
Kentuckyone Health Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 23, 2018 Accepting new patients
Lakewood Health System CurrentSince Sep 27, 2024 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 23, 2018 Accepting new patients
Loyola University Medical Center CurrentSince Mar 30, 2018 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Jun 1, 2012 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Wakemed Pediatrics CurrentSince Jul 16, 2024 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Baptist Health Medical Group Inc Pediatrics CurrentSince Jun 1, 2023 Accepting new patients
Cook County CurrentSince Feb 15, 2024 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations (25 of 43)

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

1555 N Barrington Rd
Ste 3450
Hoffman Estates, IL 60169
Phone (847) 882-2400

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

150 W High St
Morris, IL 60450
Phone (815) 942-2129

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

815 Main St
Ste A1
Peoria, IL 61602

900 Main St
Ste 250
Peoria, IL 61602

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1720 Nicholasville Rd
Ste 601A
Lexington, KY 40503
Phone (859) 639-0905

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1720 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 971-4652

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317
  • Direct secure messaging: amazin827715@direct.froedtert.com
  • Direct secure messaging: amazin147693@uihealth.direct-ci.com
  • Direct secure messaging: amazin732417@direct.ochin.org

Organizations & group practices 39

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 39

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1477500056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-996-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 2nd St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562883",
            "country_code": "US",
            "telephone_number": "920-720-7320",
            "fax_number": "920-729-2088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 Curtis Ellis Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042237",
            "country_code": "US",
            "telephone_number": "252-962-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZIN",
        "first_name": "ABDUL",
        "middle_name": "HUSSEIN ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036118947",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "IL",
            "license": "036118947",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35C.000633",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2023-03260",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "3035",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IL",
            "license": "036118947",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "IL",
            "license": "036118947",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036118947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amazin91469@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amazin91469@direct.luhs.org",
            "affiliation": "N",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.