Provider Demographics
NPI:1235341769
Name:MASON, MARGARET LANDON (MA, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LANDON
Last Name:MASON
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 NORTH MICHIGAN AVENUE
Mailing Address - Street 2:SUITE 1920
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3605
Mailing Address - Country:US
Mailing Address - Phone:312-263-4368
Mailing Address - Fax:312-263-4382
Practice Address - Street 1:30 NORTH MICHIGAN AVENUE
Practice Address - Street 2:SUITE 1920
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3605
Practice Address - Country:US
Practice Address - Phone:312-263-4368
Practice Address - Fax:312-263-4382
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1487696274OtherORGANIZATION NPI