Individual provider · Type 1 NPI

Lisa C. Mazzullo, MD

Specialist · Chicago, IL

NPI number 1952354342 Active

Practice location

737 N Michigan Ave, Suite 950
Chicago, IL 60611-2615

Call (312) 751-7515 Map

Fax (312) 751-1208

Mailing address

55 W Delaware Pl, Unit 907
Chicago, IL 60610-3360

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1952354342

Lisa C. Mazzullo, MD's National Provider Identifier is 1952354342, issued on May 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.