Individual
PERNIYA MASOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
472 BRIARGATE DR, SOUTH ELGIN, IL 60177-2225
(847) 717-6400
(847) 717-0500
Mailing address
472 BRIARGATE DR, SOUTH ELGIN, IL 60177-2225
(847) 717-6400
(847) 717-0500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036087296
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532205
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/19/2005
Last updated
04/24/2025
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