Individual
JOSEPH THOMAS MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
938 W NELSON ST, 3RD FLOOR, CHICAGO, IL 60657-6704
(773) 296-3220
Mailing address
1752 W ROSCOE ST, CHICAGO, IL 60657-1016
(773) 296-3220
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036065073
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036-065073
IL
Other
Enumeration date
08/16/2006
Last updated
04/27/2021
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