Provider Demographics
NPI:1841769510
Name:AZARI, ELIZABETH TRIZZINO (PA-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:TRIZZINO
Last Name:AZARI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MARIANNE
Other - Last Name:AZARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:30W142 WHEELER CIR
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1627
Mailing Address - Country:US
Mailing Address - Phone:563-370-7149
Mailing Address - Fax:
Practice Address - Street 1:30W142 WHEELER CIR
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1627
Practice Address - Country:US
Practice Address - Phone:563-370-7149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-24
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant