MARK SACK DPM PC NPI 1902839194

NPI Information

MARK SACK DPM PC is a foot and ankle surgery podiatrist in Chicago, IL. MARK SACK DPM PC NPI is 1902839194. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3216 W 115TH ST
CHICAGO, IL
ZIP 60655-805
Phone: (773) 238-7270
Fax: (773) 238-9627

The provider's authorized official is Mark Sack .
The authorized official title is President and has the following contact phone number (773) 238-7270.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 5/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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