Individual
MRS. DANA M MASCHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
100 N MAIN ST, HERSCHER, IL 60941-9515
(815) 426-2348
(815) 937-2062
Mailing address
PO BOX 572, HERSCHER, IL 60941-0572
(815) 426-2348
(815) 937-2062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070006340
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004632124
BLUE CROSS BLUE SHIELD
IL
01
—
P00142356
RAILROAD MEDICARE
IL
Enumeration date
05/25/2006
Last updated
10/02/2014
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