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Mason Chockley
Student in an Organized Health Care Education/Training Program in Washington, Illinois
NPI 1932647682

Mason Chockley is a Student in an Organized Health Care Education/Training Program based in Washington, IL. Mason Chockley practices in Washington, IL. The NPI Number for Mason Chockley is 1932647682 and holds a License No. (Illinois).

The current practice location address for Mason Chockley is 200 Cypress Pt, Washington, IL and can be reached out via phone at 309-444-2737.

Location: 200 Cypress Pt, Washington, IL, 61571-4001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932647682
Provider Name
Mason Chockley
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 Cypress Pt, Washington, IL, 61571-4001
Phone Number
309-444-2737
Fax Number
Provider Enumeration Date
02/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Cypress Pt
City
Washington
State
Illinois
Zip
61571-4001
Phone Number
309-444-2737
Fax Number
person
Provider Business Mailing Address Details
Address
200 Cypress Pt
City
Washington
State
Illinois
Zip
61571-4001
Phone Number
309-444-2737
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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