Active NPI
Claire Jeanette Mazurek, OTR/L
- Occupational Therapist
- Niles, IL
National Provider Identifier
1992351605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.008876
- Practice address
- 8975 W Golf Rd
Niles, IL 60714-5821 - Phone
- (847) 296-0333
- NPI assigned
- Aug 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.008876 | IL | Primary |
Addresses
Primary practice location
8975 W Golf Rd
Niles, IL 60714-5821
Mailing address
6214 N Melvina Ave
Chicago, IL 60646-3719
Phone (773) 814-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.008876 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566086400000",
"number": "1992351605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6214 N MELVINA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606463719",
"telephone_number": "773-814-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8975 W GOLF RD",
"city": "NILES",
"state": "IL",
"postal_code": "607145821",
"telephone_number": "847-296-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUREK",
"first_name": "CLAIRE",
"middle_name": "JEANETTE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-18",
"last_updated": "2019-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.008876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.