Mary Jo Mack
Kinesiotherapist
3001 Greenbay
North Chicago
, Illinois 60064
Mary Jo Mack
Kinesiotherapist
3001 Greenbay
North Chicago
, Illinois 60064
(847) 548-5186
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About
Features
Specialties
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Mary Jo Mack
- 1163 Popes Creek Cir
- Grayslake, IL
- Zip : 60030-1142
- Phone : (847) 548-5186
Second Address
- Mary Jo Mack
- 3001 Greenbay
- North Chicago, IL
- Zip : 60064
- Phone : (847) 688-1900
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist |
National Provider Identifier
| NPI | 1275784175 |
|---|---|
| Provider Name | Mary Jo Mack |
| First Address | Grayslake, IL 60030-1142 |
| Second Address | North Chicago, IL 60064 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2008 |
| Last Update Date | 09/10/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.