DR. THOMAS J MACK (NPI# 1548265689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548265689 |
| Entity Type | Individual |
| Full Name | DR. THOMAS J MACK |
| Credential | DPM |
| Practice Address |
6721 West 40th Street Stickney IL 60402-4171 |
| Mailing Address |
21041 W Snowberry Ln Plainfield IL 60544-6413 |
| Practice Telephone | 7083870633 |
| Practice Fax Number | 7083870638 |
| Mailing Telephone | 6303908360 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016-003-689 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016003689 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5635 State Rd, Burbank, IL 604592051 | 7084249200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750422853 | Thomas Patrick Mack | Dentist | 63 Bay Tree Ln, Los Altos, CA 94022-4624 | 2007-02-09 |
| 1689644726 | Thomas C Mack | Chiropractor | 116 W Smith St, Corry, PA 16407-1558 | 2006-01-23 |
| 1881251783 | Thomas Criswell Mack | Psychologist | 421 E Market St, Iowa City, IA 52245-2628 | 2019-05-26 |
| 1508129362 | Thomas Mack | Social Worker | 528 N Main St, Providence, RI 02904-5757 | 2012-06-18 |
| 1386912129 | Thomas Mcculloch Mack | Internal Medicine | 1441 Eastlake Ave, Rm 4453, Los Angeles, CA 90089-0112 | 2011-12-08 |
| 1770897167 | Thomas Gerard Mack | Case Manager/Care Coordinator | 1430 Olive St, Suite 500, Saint Louis, MO 63103-2303 | 2010-07-28 |
| 1396817060 | Thomas A Mack | Optometrist | 7701 Frontage Rd, Suite A, Overland Park, KS 66204-2364 | 2006-11-15 |
| 1659474013 | Thomas Michael Mack | Dentist | 17215 N 72nd Dr, Ste A100, Glendale, AZ 85308 | 2006-09-07 |
| 1417987470 | Thomas Val Mack | General Practice | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2006-07-04 |
| Street Address |
6721 WEST 40TH STREET |
| City | STICKNEY |
| State | IL |
| Zip Code | 60402-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.