Individual
MR. EUGENE JASON MASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
5TH AVE. AND ROOSEVELT RD, HINES, IL 60141-5128
(708) 202-2058
Mailing address
5TH AVE. AND ROOSEVELT RD, HINES, IL 60141-5128
(708) 202-2058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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