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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1841276847 NPPES
Illinois MEDICAID 36093222

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