Individual
DR. DANIEL DEREK MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
610 S PARK CREST DR, FREEPORT, IL 61032-7802
(815) 235-3277
Mailing address
610 S PARK CREST DR, FREEPORT, IL 61032-7802
(630) 210-5137
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.002059
IL
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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