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

Mary Blazevich, PT

Individual provider Physical Therapist · NPI 1609156033

Mary Blazevich, PT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2011, 15 years ago. Practices with Excelpt, PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

405 N Wabash Ave
Chicago, IL 60611-3591
Phone: (312) 527-5560
Fax: (312) 527-9360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1145 N Harlem Ave, Oak Park, IL 60302-1529 — (708) 386-2086

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-018713 (IL)

Record details

NPI number1609156033
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 17, 2011
Last updated in NPPESJuly 21, 2022
Mailing address625 Enterprise Dr, Oak Brook, IL 60523-8813

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Excelpt, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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