IndividualActive
John Mazzarella, D.P.M.
NPI 1780748319 · Orthopaedic Foot and Ankle Surgery Physician · Lisle, IL
Provider details
- NPI number
- 1780748319
- Entity type
- Individual
- Primary specialty
- Orthopaedic Foot and Ankle Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 016004364 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3033 Ogden Ave
Ste 110
Lisle, IL 60532-1976
Phone: (630) 355-3600
Fax: (630) 355-3601
Approximate (ZIP-level) locationGet directions
Mailing address
3033 Ogden Ave
Lisle, IL 60532-1976
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2022-07-21
- Certified
- 2020-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.