Organization Active NPI

Mason Medical Services LLC

  • Public Health or Welfare Agency
  • Chicago, IL
National Provider Identifier
1376297168
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MASON MEDICAL SERVICES LLC
Practice address
9400 S Bennett Ave
Chicago, IL 60617-3600
Phone
(469) 636-7501
NPI assigned
Feb 9, 2022
Organization subpart
Yes
Parent organization
MASON MEDICAL SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kamau Mason
Title
Owner
Phone
(815) 531-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

9400 S Bennett Ave
Chicago, IL 60617-3600

Mailing address

9400 S Bennett Ave
Chicago, IL 60617-3600
Phone (469) 636-7501

National Provider Directory

National Provider Directory
Part of
Mason Medical Services LLC

Locations

9400 S Bennett Ave
Chicago, IL 60617
Phone (469) 636-7501

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1376297168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S BENNETT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173600",
            "telephone_number": "469-636-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 S BENNETT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173600",
            "telephone_number": "469-636-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON MEDICAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASON MEDICAL SERVICES LLC",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "KAMAU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-531-7579"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.