Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael R. Mazukelli, DDS, PC

Organization Dentist · NPI 1235342064

Michael R. Mazukelli, DDS, PC provides Dentist services in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

954 N Northwest Hwy
Park Ridge, IL 60068-2358
Phone: (847) 823-4045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)
Dentist Taxonomy 122300000X (IL)

Record details

NPI number1235342064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Mazukelli — President · (847) 823-4045
NPI enumeratedMay 8, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address954 N Northwest Hwy, Park Ridge, IL 60068-2358

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