Individual
TIFFANY LYNN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 884-7366
(773) 884-8060
Mailing address
2701 W 68TH ST, CHICAGO, IL 60629-1882
(773) 884-7366
(773) 884-8060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86170731
IL
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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