Mason, Charles A.

Mason, Charles A. is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mason, Charles A. can be contacted via phone (708) 684-5745.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X L2448 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4032 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036-171983 Illinois

Profile Details

NPI number 1447245048
LBN Legal business name Mason, Charles A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Oct 9th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447245048 NPPES
Wisconsin MEDICAID 100269640

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