Individual
BROOKE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 S RIVERSIDE PLZ, SUITE 830, CHICAGO, IL 60606-5808
(312) 416-3804
Mailing address
360 BEAU DR, APT 5, DES PLAINES, IL 60016-2461
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005709
IL
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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