Mack Foot & Ankle, Sc

LBN: Mack Foot & Ankle, Sc
Mack Foot & Ankle, Sc is an health care organization with primary practice located at 2821 Rose St , Franklin Park IL 60131-2928. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Mack Foot & Ankle, Sc can be contacted via phone (847) 455-5233, or through Mack, Todd M via phone (847) 455-5233.

Contact Information

Primary practice address
2821 Rose St Franklin Park IL 60131-2928
Phone: (847) 455-5233
Fax: (847) 455-5086
Website:
Map and Directions
Authorized official contact:
Name: Mack, Todd M Doctor of Podiatric Medicine (DPM)
Phone: (847) 455-5233

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016005154 Illinois

Profile Details

NPI number 1528282761
LBN Legal business name Mack Foot & Ankle, Sc
DBA Doing business as
Authorized official Mack, Todd M Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528282761 NPPES
Illinois Other 01634612 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 016005154 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 43267600 BLUE CROSS BLUE SHIELD

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