Search › Indiana › 207RC0000X
Jelica Maze, M.D
NPI 1811162704 · on the registry since 2008
Practice
- Address
- 12750 St Francis Dr Ste 320
Crown Point, IN 46307 - Phone
- (219) 662-0077
- Fax
- (219) 662-9496
- Clinicians at this address
- 44
Additional practice sites
- 3800 W 203rd St Ste 204, Olympia Fields, IL
- 1205 S Main St Ste 101, Crown Point, IN
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207R00000X
207RC0000X
207RC0000X
207RC0000X - Licence states on file
- IN, PA, FL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana