Mallory Mazanek

Counselor · Carterville, IL

Individual Active NPI

NPI number 1407524010

Practice location

403 Municipal Dr
Carterville, IL 62918-2042
Phone
(855) 608-3560
Fax
(618) 956-9349

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NPI record

NPI
1407524010
Entity type
Individual (Type 1)
Enumeration date
August 31, 2021
Last updated
August 31, 2021
Certified
August 31, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

902 W Main St
West Frankfort, IL 62896-2210
Phone
(618) 937-6483
Fax
(618) 937-1440

About Mallory Mazanek

Mallory Mazanek is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 403 Municipal Dr, Carterville, IL 62918-2042. The NPI number 1407524010 was assigned on August 31, 2021 and the record was last updated on August 31, 2021.

Frequently asked questions

What is the NPI number of Mallory Mazanek?

The NPI number is 1407524010.

What is the phone number of Mallory Mazanek?

The phone number listed for the practice location is (855) 608-3560.

Where is Mallory Mazanek located?

403 Municipal Dr, Carterville, IL 62918-2042.

What is the taxonomy code for Mallory Mazanek?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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