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KELSEY MAZUR
NPI 1386154847
Physician Assistant in Chicago, IL

Active since October 10, 2017
1611 W HARRISON ST # 300, CHICAGO, IL 60612(877) 632-6637 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2021, Dec 29, 2017, Oct 10, 2017 (3 updates tracked since 2017).

About Kelsey Mazur NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY MAZUR (NPI 1386154847) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1386154847
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY MAZUR
Location Address1611 W HARRISON ST # 300Chicago, IL 60612-4861
Mailing Address1 Westbrook Corporate Ctr, Ste 240Westchester, IL 60154-5745 · (708) 236-2673
Phone(877) 632-6637
Sole ProprietorNo
Enumeration DateOctober 10, 2017
Last NPPES UpdateApril 27, 20213 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1386154847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1611 W HARRISON ST # 300, Chicago, IL 60612
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Mazur's NPI number?

The NPI number for Kelsey Mazur is 1386154847. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Kelsey Mazur located?

Kelsey Mazur practices at 1611 W Harrison St # 300, Chicago, IL 60612. The listed phone number is (877) 632-6637.

What is Kelsey Mazur's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelsey Mazur was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.