SearchIllinois376K00000X

Edna Mason

NPI 1396266763 · on the registry since 2017 · sole proprietor

Practice

Address
1952 S Hamlin Ave
Chicago, IL 60623
Phone
(773) 565-8615

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
376K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-07-06

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