Organization Active NPI

Joseph Mazzei SC

  • Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1508364431
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JOSEPH MAZZEI SC
Practice address
1827 Walden Office SQ Ste 250
Schaumburg, IL 60173
Phone
(847) 258-7148
Fax
(773) 592-1744
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Joseph Mazzei, DO
Title
Owner
Phone
(773) 592-1744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AZ Primary

Addresses

Primary practice location

1827 Walden Office SQ Ste 250
Schaumburg, IL 60173

Mailing address

2407 Colby Dr
McHenry, IL 60050-6725
Phone (773) 592-1744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1508364431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 COLBY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600506725",
            "telephone_number": "773-592-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 WALDEN OFFICE SQ STE 250",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "847-258-7148",
            "fax_number": "773-592-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MAZZEI SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "MAZZEI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-592-1744",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.