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Organization
MASS MEDICAL, S.C.
Active
Organization
MASS MEDICAL, S.C.
Active
Other names
Lake Forest Acute Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD MASS M.D. (PRESIDENT)
(847) 814-9376
Entity
Organization
Contact information
Practice address
1025 W EVERETT RD, SUITE 101, LAKE FOREST, IL 60045-2697
(847) 234-7950
(847) 234-7940
Mailing address
475 MCCORMICK DR, LAKE FOREST, IL 60045-3349
(847) 814-9376
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
042620111
IL
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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