Individual
EDNA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 S HAMLIN AVE, CHICAGO, IL 60623-2436
(773) 565-8615
Mailing address
1952 S HAMLIN AVE, CHICAGO, IL 60623-2436
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
—
IL
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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