Roger Mrazek is a Professional in Chicago, Illinois. Roger Mrazek practices all healthcare services and medical treatments related to Professional. The NPI Number for Roger Mrazek is 1811063621. The last update date is 2007-07-08.
Roger Mrazek's current location address is 2445 W 112th St, Chicago, Illinois. You can contact this provider via phone number 7738798696. The mailing address for Roger Mrazek is 2445 W 112th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Mrazek |
|---|---|
| Address | 2445 W 112th St, Chicago, Illinois |
| Phone Number | 7738798696 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCPC,CADC, |
NPI Number Detail
| NPI Number | 1811063621 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2445 W 112th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606551351 |
| Phone Number | 7738798696 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180000808 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000-163-6162 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique identification code assigned to Roger Mrazek by the Centers for Medicare & Medicaid Services?
The Roger Mrazek has been issued the NPI (National Provider Identifier) 1811063621. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Roger Mrazek?
The Roger Mrazek is physically situated at 2445 W 112Th St, in the city of Chicago, state of IL, with the postal code 606551351.
What is Roger Mrazek's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Roger Mrazek is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Roger Mrazek receive the assignment of its 1811063621 from the Centers for Medicare & Medicaid Services?
The Roger Mrazek was issued its 1811063621 by the Centers for Medicare & Medicaid Services on 2006-11-27.
When was the information regarding Roger Mrazek most recently updated?
The details pertaining to the Roger Mrazek, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.