Provider Demographics
NPI:1932682564
Name:ATASSI, MAZEN (ND)
Entity Type:Individual
Prefix:DR
First Name:MAZEN
Middle Name:
Last Name:ATASSI
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 WILLOW BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60480-1632
Mailing Address - Country:US
Mailing Address - Phone:630-474-4762
Mailing Address - Fax:
Practice Address - Street 1:17W662 BUTTERFIELD RD STE 306B
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4006
Practice Address - Country:US
Practice Address - Phone:630-358-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath