Mass, Mark E
Mass, Mark E is an sole proprietor health care provider with primary practice located at 1025 W Everett Rd Suite 101, Lake Forest IL 60045-2697. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Ambulatory Health Care Facilities / Urgent Care, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Urgent Care is his primary health care specialty. Mass, Mark E can be contacted via phone (847) 234-7950.Contact Information
Primary practice address
1025 W Everett Rd Suite 101
Lake Forest IL 60045-2697
Phone: (847) 234-7950
Fax: (847) 234-7940
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 36093222 | Illinois |
Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 036-093222 | Illinois |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 036-093222 | Illinois |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-093222 | Illinois |
Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X | 036-093222 | Illinois |
Profile Details
NPI number | 1841276847 |
---|---|
LBN Legal business name | Mass, Mark E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 21st, 2005 |
Last updated | Apr 23rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841276847 | NPPES |
Illinois | MEDICAID | 36093222 |
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