Myrtle Hyacinth R Mason in Chicago - Psychiatry

Myrtle Hyacinth R Mason - NPI 1972608388

Myrtle Hyacinth R Mason is a Psychiatry in Chicago, Illinois. Myrtle Hyacinth R Mason practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Myrtle Hyacinth R Mason is 1972608388. The last update date is 2007-07-08.

Myrtle Hyacinth R Mason's current location address is 820 South Damen Avenue, Chicago, Illinois. You can contact this provider via phone number 3125698387. The mailing address for Myrtle Hyacinth R Mason is 820 South Damen Avenue, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Myrtle Hyacinth R Mason
Address 820 South Damen Avenue, Chicago, Illinois
Phone Number 3125698387
Fax Number
Sole Proprietor N
Credentials MD MPH

NPI Number Detail

NPI Number 1972608388
Provider Enumeration Date 2006-09-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 820 South Damen Avenue
City Chicago
State Illinois (IL)
Post Code 60612
Phone Number 3125698387
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 36041379
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
460720 IL --

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FAQs about Myrtle Hyacinth R Mason

Could you kindly provide the complete physical address where Myrtle Hyacinth R Mason's facilities are geographically located?

The facilities of Myrtle Hyacinth R Mason are physically situated at the following location: 820 South Damen Avenue, Chicago, IL, 60612.

What is Myrtle Hyacinth R Mason's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Myrtle Hyacinth R Mason's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.

What is Myrtle Hyacinth R Mason's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Myrtle Hyacinth R Mason is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1972608388 to Myrtle Hyacinth R Mason?

The Centers for Medicare & Medicaid Services assigned the 1972608388 to Myrtle Hyacinth R Mason on 2006-09-13.

As of what date was the information regarding Myrtle Hyacinth R Mason, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Myrtle Hyacinth R Mason, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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