Thomas J. Mack, DPM

Podiatrist · Stickney, IL

Individual Active NPI

NPI number 1548265689

Practice location

6721 West 40TH Street
Stickney, IL 60402-4171
Phone
(708) 387-0633
Fax
(708) 387-0638

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NPI record

NPI
1548265689
Entity type
Individual (Type 1)
Enumeration date
June 16, 2005
Last updated
April 29, 2020
Certified
April 29, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Podiatrist Primary 213E00000X 016-003-689 IL

Mailing address

21041 W Snowberry Ln
Plainfield, IL 60544-6413
Phone
(630) 390-8360

Other practice locations (1)

  • 5635 State Rd, Burbank, IL 60459-2051 · (708) 424-9200

About Dr. Mack

Thomas J. Mack, DPM is a healthcare provider registered in the NPI registry with the primary taxonomy Podiatrist (code 213E00000X). The practice location is 6721 West 40TH Street, Stickney, IL 60402-4171. The NPI number 1548265689 was assigned on June 16, 2005 and the record was last updated on April 29, 2020.

Dr. Mack lists a license in the registry: #016-003-689 (IL) for Podiatrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas J. Mack, DPM?

The NPI number is 1548265689.

What is the phone number of Dr. Mack?

The phone number listed for the practice location is (708) 387-0633.

Where is Dr. Mack located?

6721 West 40TH Street, Stickney, IL 60402-4171.

What is the taxonomy code for Dr. Mack?

The primary taxonomy code is 213E00000X – Podiatrist.

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.