JOSEPH MAZZEI, S.C. (NPI# 1750523452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750523452 |
| Entity Type | Organization |
| Organization Name | JOSEPH MAZZEI, S.C. |
| Other Organization Name | BODYLOGICMD OF CHICAGO |
| Practice Address |
65 E Wacker Pl Suite 600 Chicago IL 60601-7296 |
| Mailing Address |
2217 N Oakley Ave 1s Chicago IL 60647-6350 |
| Practice Telephone | 8669625689 |
| Practice Fax Number | 8669626357 |
| Mailing Telephone | 8669625689 |
| Mailing Fax Number | 8669626357 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | DR. JOSEPH MAZZEI (DIRECTOR) |
| Authorized Official Telephone | 8669625689 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036106115 | IL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| BodyLogicMD of Chicago | Doing Business As Name - Organization |
| Street Address |
65 E WACKER PL SUITE 600 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-7296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982623351 | Kari Renee Robertson | Chiropractor | 65 E Wacker Pl, 1615, Chicago, IL 60601-7296 | 2006-07-18 |
| 1245853977 | Kristen Michelle Klipfel | Clinical Neuropsychologist | 65 E Wacker Pl, Chicago, IL 60601-7296 | 2020-05-28 |
| 1194114991 | Ann Foster Ltd | Counselor | 65 E Wacker Pl, Suite 2200, Chicago, IL 60601-7296 | 2015-01-16 |
| 1053712802 | Nicole Wahlert | Counselor | 65 E Wacker Pl, 2200, Chicago, IL 60601-7296 | 2014-09-11 |
| 1417383209 | Arielle Susan Albert | Clinical Neuropsychologist | 65 E Wacker Pl, Suite 2240, Chicago, IL 60601-7296 | 2013-09-24 |
| 1144567256 | Robert J. Moretti, Ph.d., & Associates | Psychologist | 65 E Wacker Pl, Suite 900, Chicago, IL 60601-7296 | 2013-01-09 |
| 1104124056 | Edward Rhodes | Counselor | 65 E Wacker Pl, Suite 2240, Chicago, IL 60601 | 2011-03-02 |
| 1922331958 | Lawrence Hall Youth Services | Case Management | 65 E Wacker Pl, 7th Floor, Chicago, IL 60601-7296 | 2009-09-09 |
| 1083886931 | Ann Foster | Counselor | 65 E Wacker Pl, Suite 2200, Chicago, IL 60601-7296 | 2008-04-01 |
| 1053516724 | Tracy Lynn Tilton | Psychologist | 65 E Wacker Pl, 2240, Chicago, IL 60601-7296 | 2007-06-20 |
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| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1922502657 | Shauntay Robertson | Specialist | 7342 S Richmond St, Chicago, IL 60629-3015 | 2018-03-19 |
| 1114448644 | Ageless Men's Health Holdings Inc | Specialist | 1729 N Clybourn Ave, Chicago, IL 60614-6503 | 2017-07-06 |
| 1447798871 | Andria Miller | Specialist | 840 N Western Ave, Chicago, IL 60622-4638 | 2017-02-06 |
| 1710425129 | Rtb Sc | Specialist | 5015 N. Paulina #225, Chicago, IL 60640 | 2017-02-06 |
| 1881137354 | Joy Deliverance Williamson | Specialist | 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 | 2016-11-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.