Individual provider Active NPI

Patrycja Mazur, APN

  • Family Nurse Practitioner
  • Des Plaines, IL
National Provider Identifier
1922422328
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.011239 Issued in IL
Practice address
1480 Jefferson St
Apt 202
Des Plaines, IL 60016-4485
Phone
(312) 731-3999
NPI assigned
Feb 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.377064 IL
Family Nurse Practitioner 363LF0000X 209.011239 IL Primary

Addresses

Primary practice location

1480 Jefferson St
Apt 202
Des Plaines, IL 60016-4485

Mailing address

2160 S 1St Ave BLDG 6269
Loyola Univesity Medical Center
Maywood, IL 60153-3328
Phone (312) 731-3999

Other names 1

  • Patrycja Okonska Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pmazur236320@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041.377064ILMDRegistered Nurse
209.011239ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Acute Care, LLP Current Accepting new patients
Lake County Acute Care, LLP CurrentSince Aug 8, 2022 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Cepamerica Illinois LLP CurrentSince Dec 22, 2022 Accepting new patients
Lake County Immediate Care, LLC CurrentSince Nov 7, 2022 Accepting new patients
Lake County Acute Care, LLP CurrentSince Aug 8, 2022 Accepting new patients
Cepamerica Illinois LLP CurrentSince Dec 22, 2022 Accepting new patients
Lake County Immediate Care, LLC CurrentSince Nov 7, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

150 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 215-0000

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1445 N Hunt Club Rd
Ste 101
Gurnee, IL 60031
Phone (847) 438-1779

1849 Green Bay Rd
Ste 171
Highland Park, IL 60035
Phone (847) 901-8400

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

724 N Green Bay Rd
Waukegan, IL 60085
Phone (847) 901-8400

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1922422328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE BLDG 6269",
            "address_2": "LOYOLA UNIVESITY MEDICAL CENTER",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "312-731-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 JEFFERSON ST",
            "address_2": "APT 202",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164485",
            "telephone_number": "312-731-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "PATRYCJA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.377064",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmazur236320@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1407 Winston Dr",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600896834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1407 Winston Dr",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600896834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRYCJA",
            "last_name": "OKONSKA",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.