Mason, Terry
Mason, Terry is an individual health care provider with primary practice located at 2850 S Wabash Ave Suite 106, Chicago IL 60616-2955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mason, Terry can be contacted via phone (312) 842-4400.Contact Information
Primary practice address
2850 S Wabash Ave Suite 106
Chicago IL 60616-2955
Phone: (312) 842-4400
Fax: (312) 842-4595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036059147 | Illinois |
Profile Details
| NPI number | 1205813094 |
|---|---|
| LBN Legal business name | Mason, Terry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Apr 20th, 2010 - about 16 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 | 1205813094 | NPPES |
| Illinois | MEDICAID | 036059147 | |
| Illinois | Other | 01621679 |
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