Active NPI
Mason Medical Services LLC
- Public Health or Welfare Agency
- Chicago, IL
National Provider Identifier
1376297168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.