Individual
WYNEISHA J MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC
Contact information
Practice address
10001 S WOODLAWN AVE, CHICAGO, IL 60628-1645
(773) 291-6100
Mailing address
305 W 35TH ST APT 306, STEGER, IL 60475-1451
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-004012
IL
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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