| Doctor Name: | DR. JELICA MAZE |
| NPI Number: | 1811162704 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ME112860 |
| Business Practice Address: | 1691 Washington Rd Mt Lebanon, PA - 152281643 |
| Business Phone Number: | 4128356900 |
| Business Fax Number: | |
| Mailing Address: | 161 W Kinzie St Apt 1703, CHICAGO |
| State: | IL |
| Postal Code: | 606544610 |
| Phone Number: | 4123341260 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 04/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | ME112860 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |