Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan B Mazurkiewicz, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942905435

Evan B Mazurkiewicz, DO is a Student in an Organized Health Care Education/Training Program in Olympia Fields, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone: (708) 855-8007
Fax: (708) 503-3241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.081614 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942905435
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023
Mailing address1640 N North Park Ave Apt 3, Chicago, IL 60614-8085

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