Individual
DR. CHARLES A. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5745
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-171983
IL
207L00000X
Anesthesiology Physician
4032
WI
207L00000X
Anesthesiology Physician
L2448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269640
—
WI
Enumeration date
09/20/2005
Last updated
10/09/2024
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