THEOPHILUS MASON

CHICAGO, IL
NPI1205580701
Other NameTHEOPHILUS MASON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209023392)
Enumeration Date2022-02-04
Last Update Date2022-02-04
Business Address
THEOPHILUS MASON FNP
1801 W TAYLOR ST
CHICAGO, IL 60612-4795
Phone number: 312-413-7500
Mailing Address
THEOPHILUS MASON FNP
820 S WOOD ST MC 808
CHICAGO, IL 60612-4325
Phone number: 312-996-7006
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