Individual
DR. MASON WAYNE MILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608
(773) 257-6663
Mailing address
909 S MADISON ST, HINSDALE, IL 60521-4370
(414) 232-8034
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036125204
IL
207XX0801X
Orthopaedic Trauma Physician
036125204
IL
Other
Enumeration date
10/04/2006
Last updated
08/30/2023
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