NPI
Hazel Mackey Center
NPI 1306992938
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-01-26
- Last updated
- 2025-09-11
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Specialties
Licenses
- License IL
- 180-00384
- License IL
- 180-004929
- License IL
- 149 010270
- License IL
- 166.000297
- License IL
- 149 000796
Location
- Practice location
- 1128 S 5th St
- City
- Springfield IL
- Postal code
- 62703-2314
- Phone
- (217) 544-0388
Organization contact
- Name
- Barney Bruzetti
- Title
- Chief Fiscal Officer
- Phone
- (217) 544-0388
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Springfield, IL. 5,943 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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