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Daniel Frederick Mason

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1814 N Wood St, Apt 2, Chicago, IL 60622-7836

PECOS Enrollment

Based on the most recent information from CMS, provider Daniel Frederick Mason does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1275852642
Provider Type
Individual
Full Name
Mason, Daniel Frederick
Title
Mr.
Credential
CCC-SLP

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/25/2010
Last Updated
12/17/2018

Contact Information

Practice Location

1814 N Wood St, Apt 2, Chicago, IL 60622-7836

(508) 728-6185

Unlisted Fax

Mailing Location

1814 N Wood St, Apt 2, Chicago, IL 60622-7836

(312) 725-9612

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 146012075 Illinois
Code 222Q00000X	Description Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer
Code 235Z00000X	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License SP-9083-SL Massachusetts
Code 235Z00000X	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 1508 New Hampshire

Daniel Frederick Mason

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

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License

Code

Description

License

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