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Individual

PATRICK MASCHING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2028
(618) 498-6402
Mailing address
1905 RIVERS EDGE DR, COOKEVILLE, TN 38506-1012
(618) 971-8401

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-092388
IL
207P00000X
Emergency Medicine Physician
62866
TN
207Q00000X
Family Medicine Physician
036092388
IL
207Q00000X
Family Medicine Physician
62866
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036092388
IL
05
036092388-1
IL
01
10586979
CAQH
IL
05
204900609
MO
Enumeration date
11/21/2005
Last updated
01/23/2025
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