Search › Illinois › 363L00000X
Jennifer Mazanek
NPI 1922951219 · on the registry since 2026
Practice
- Address
- 1003 E Mccord St
Centralia, IL 62801 - Phone
- (618) 436-6633
- Organisation at this address
- Physician Services Corporation Of Southern Illinois Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-05
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 Illinois