Ronald Mack
Certified Registered Nurse Anesthetist · Maywood, IL
Practice location
2160 S 1st AveMaywood, IL 60153-3328
- Phone
- (788) 584-7888
NPI record
- NPI
- 1295491447
- Entity type
- Individual (Type 1)
- Enumeration date
- November 11, 2021
- Last updated
- May 24, 2022
- Certified
- May 24, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X |
209024455 | IL |
| Certified Registered Nurse Anesthetist | 367500000X |
041405460 | IL |
About Ronald Mack
Ronald Mack is a healthcare provider registered in the NPI registry with the primary taxonomy Certified Registered Nurse Anesthetist (code 367500000X). The practice location is 2160 S 1st Ave, Maywood, IL 60153-3328. The NPI number 1295491447 was assigned on November 11, 2021 and the record was last updated on May 24, 2022.
Ronald Mack lists 2 licenses in the registry: #209024455 (IL) for Certified Registered Nurse Anesthetist; #041405460 (IL) for Certified Registered Nurse Anesthetist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ronald Mack?
The NPI number is 1295491447.
What is the phone number of Ronald Mack?
The phone number listed for the practice location is (788) 584-7888.
Where is Ronald Mack located?
2160 S 1st Ave, Maywood, IL 60153-3328.
What is the taxonomy code for Ronald Mack?
The primary taxonomy code is 367500000X – Certified Registered Nurse Anesthetist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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