Individual
DR. RICHARD W MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 E COUNTYLINE RD, SANDWICH, IL 60548-2178
(815) 786-2722
(815) 786-6840
Mailing address
10 MARTIN AVE STE 225, NAPERVILLE, IL 60540-6590
(630) 355-5633
(630) 355-5215
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
03682889
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082819
—
IL
01
—
1921614
BC/BS
IL
Enumeration date
08/30/2005
Last updated
01/07/2021
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