Individual provider · Type 1 NPI
John D. Mazzarella, D.P.M.
Orthopaedic Foot and Ankle Surgery Physician · Lisle, IL
Practice location
3033 Ogden Ave, Ste 110
Lisle, IL 60532-1976
Fax (630) 355-3601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician Primary | 207XX0004X | 016004364 (IL) |
Orthopaedic Foot and Ankle Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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About NPI 1780748319
John D. Mazzarella, D.P.M.'s National Provider Identifier is 1780748319, issued on Dec 20, 2006. The primary taxonomy on file is Orthopaedic Foot and Ankle Surgery Physician (207XX0004X), and the practice location is in Lisle, IL. The record was last updated on Jul 21, 2022.