Active NPI
Patrycja Mazur, APN
- Family Nurse Practitioner
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.011239
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.377064 | IL | MD | Registered Nurse |
| 209.011239 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake County Acute Care, LLP | Current | Accepting new patients | |
| Lake County Acute Care, LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Lake County Immediate Care, LLC | Current | Accepting new patients | |
| Lake County Acute Care, LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Lake County Immediate Care, LLC | Current | 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.
-
- Emergency Medicine Physician
- Libertyville, IL
- NPI 1740906577
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Family Medicine Physician
- Round Lake Beach, IL
- NPI 1356448542
-
- Family Medicine Physician
- Buffalo Grove, IL
- NPI 1720185911
-
- Family Medicine Physician
- Gurnee, IL
- NPI 1861599052
-
- Urgent Care Clinic/Center
- Antioch, IL
- NPI 1265090849
-
- Urgent Care Clinic/Center
- Waukegan, IL
- NPI 1285048975
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.