MEDICARE: KATRINA J MASON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula
2	225700000X	Massage Therapist	227.018793	IL
3	174N00000X	Lactation Consultant (Non-RN)		IL

General Provider Information

NPI Number	:	1154933893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA J MASON

Provider Business Mailing Address
First Line	:	PO BOX 53614
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-0614
Country	:	US
Telephone Number	:	773-729-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4043 S DREXEL BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-2470
Country	:	US
Telephone Number	:	773-729-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2020
Last Update Date	:	12/09/2025

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