Provider Demographics
NPI:1689745002
Name:MASS, DANIEL PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PAUL
Last Name:MASS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5841 S MARYLAND AVE
Mailing Address - Street 2:MC 3079
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-702-6306
Mailing Address - Fax:773-702-4378
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:MC 3079
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-6306
Practice Address - Fax:773-702-4378
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC39176Medicare UPIN