Healthcare Provider Details

I. General information

NPI: 1568672509
Provider Name (Legal Business Name): MASON T. HOEL, DC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 GREEN BAY RD
HIGHWOOD IL
60040-1391
US

IV. Provider business mailing address

689 E ILLINOIS RD
LAKE FOREST IL
60045-2401
US

V. Phone/Fax

Practice location:
  • Phone: 847-681-8100
  • Fax:
Mailing address:
  • Phone: 630-779-6657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. MASON TYLER HOEL
Title or Position: PRESIDENT
Credential: D.C.
Phone: 630-779-6657