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Individual
MARK E MASS
Active
Individual
MARK E MASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-093222
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
36093222
IL
2083X0100X
Occupational Medicine Physician
036-093222
IL
261QU0200X
Urgent Care Clinic/Center
Primary
036-093222
IL
261QX0100X
Occupational Medicine Clinic/Center
036-093222
IL
Other
Enumeration date
12/21/2005
Last updated
04/23/2014
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