Eugene Jason Mask is a Clinical in Hines, Illinois. Eugene Jason Mask practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eugene Jason Mask is 1407865462. The last update date is 2007-07-08.
Eugene Jason Mask's current location address is 5th Ave. And Roosevelt Rd, Hines, Illinois. You can contact this provider via phone number 7082022058. The mailing address for Eugene Jason Mask is 5th Ave. And Roosevelt Rd, Hines, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Jason Mask |
|---|---|
| Address | 5th Ave. And Roosevelt Rd, Hines, Illinois |
| Phone Number | 7082022058 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1407865462 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5th Ave. And Roosevelt Rd |
|---|---|
| City | Hines |
| State | Illinois (IL) |
| Post Code | 601415128 |
| Phone Number | 7082022058 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eugene Jason Mask by the Centers for Medicare & Medicaid Services?
The Eugene Jason Mask has been issued the NPI (National Provider Identifier) 1407865462 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Eugene Jason Mask is located?
The Eugene Jason Mask is situated at the following address: 5Th Ave. And Roosevelt Rd, Hines, IL, 601415128.
What is Eugene Jason Mask's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eugene Jason Mask is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407865462 to Eugene Jason Mask?
The Centers for Medicare & Medicaid Services originally issued the 1407865462 to Eugene Jason Mask on 2006-08-07.
When was the information regarding Eugene Jason Mask, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eugene Jason Mask, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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