C Mark Massullo LCSW

  • NPI 1396969242
According to our database, the NPI number for C Mark Massullo LCSW is 1396969242 and activated since 17 years ago. C Mark Massullo LCSW is an individual provider who specializes in Clinical, and the primary practice location is 3166 N Lincoln Ave, Chicago, IL 60657. You can also contact C Mark Massullo LCSW via telephone number is (773) 296-9876. Provider NPI information was last updated on 09/16/2012.

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Overview of C Mark Massullo LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/12/2007
  • Last updated: 09/16/2012

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 149-007721
  • License State: IL

Provider Mailing Address

  • Address: 3166 N Lincoln Ave
    310
    Chicago, IL 60657
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 3166 N Lincoln Ave
    310
    Chicago, IL 60657
  • Phone: 773-296-9876
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 149-007721
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for C Mark Massullo LCSW?
  • A: The npi number for C Mark Massullo LCSW is 1396969242.
  • Q: What are C Mark Massullo LCSW's specialties?
  • A: C Mark Massullo LCSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for C Mark Massullo LCSW?
  • A: The medical license number for C Mark Massullo LCSW is 149-007721 and issued in IL in USA.
  • Q: Where is C Mark Massullo LCSW practice location?
  • A: C Mark Massullo LCSW is practicing at 3166 N Lincoln Ave, Chicago, IL 60657.
  • Q: How to contact C Mark Massullo LCSW?
  • A: You can contact C Mark Massullo LCSW via 773-296-9876.
Medicare Specialty
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Clinical Pharmacology
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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