Individual
MARIO ALBERTO MASRUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, 3F - OCC, CHICAGO, IL 60612-4795
(312) 996-6883
(312) 355-6337
Mailing address
840 S WOOD ST, STE 435E - MC 958, CHICAGO, IL 60612-4325
(312) 355-1493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036136813
IL
Other
Enumeration date
04/19/2012
Last updated
01/12/2015
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