# MARK E MASS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841276847
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 036-093222 | IL | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | 036-093222 | IL | — |

## Other

- **Enumeration date:** 12/21/2005
- **Last updated:** 04/23/2014