Organization
MASS MEDICAL, S.C.
Active
Other names
Lake Forest Acute Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD MASS M.D. (PRESIDENT)
(847) 814-9376
Entity
Organization
Contact information
Practice address
1025 W EVERETT RD, SUITE 101, LAKE FOREST, IL 60045-2697
(847) 234-7950
(847) 234-7940
Mailing address
475 MCCORMICK DR, LAKE FOREST, IL 60045-3349
(847) 814-9376
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
042620111
IL
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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