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Dr. Kimberly Arvidson Mazur , DO

Pediatrics β€’ Winfield, IL

Active NPI 1962783068 Individual Practitioner Female Practitioner
Practice location in NPPES

25 N Winfield Rd
Winfield, IL 601901379

Call 6309332340 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

25 N Winfield Rd

Winfield, IL 601901379

Telephone 6309332340
Organization at the Same NPPES Address or Phone
Associated General Surgeons, S.c. Facility NPI 1174501266

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Winfield and Illinois

9 active clinicians are listed under Pediatrics with a practice address in Winfield, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-31
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 125059207

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1588820179

Doctor of Osteopathic Medicine (D.O.)

NPI 1114558145

Doctor of Medicine (M.D.)

Dr. Imran Ahmad , MD

Internal Medicine - Interventional Cardiology

NPI 1871760934

Doctor of Medicine (M.D.)

Dr. Christopher Ahuja , MD

Neurological Surgery

NPI 1316625288

Doctor of Medicine (M.D.)

Hia Alazzam , APRN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1760068167

Advanced Practice Registered Nurse, Certified Registered Nurse Anesthetist

NPI 1750322640

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 28, 2022

Registered at 25 N WINFIELD RD, WINFIELD, IL 601901379 (Tel: 6309332340)

πŸ“
Updated Business Mailing Address January 28, 2022

Registered at 25 N WINFIELD RD, WINFIELD, IL 601901379 (Tel: 6309332340)

βœ…
NPI Profile Active June 12, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 12, 2014

Registered at 4440 W 95TH ST, OAK LAWN, IL 604532600 (Tel: 7086845341)

πŸ“
Business Mailing Address (Initial Record) June 12, 2014

Registered at 4440 W 95TH ST, OAK LAWN, IL 604532600 (Tel: 7086845341)

πŸ‘€
Provider Name / Credentials (Initial Record) June 12, 2014

Recorded as KIMBERLY MAZUR, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2014

Pediatrics (license number reported to NPPES: IL 125059207)

🟒
Initial NPI Registration & Enumeration September 01, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962783068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2011
Last Update: January 31, 2025
Sole Proprietor: Yes

Mailing Address

25 N Winfield Rd

Winfield, IL 601901379

Phone: 6309332340

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.