SearchIllinois104100000X

Nicol Mack

NPI 1174312557 · on the registry since 2025

Practice

Address
1032 Schoolgate Rd
New Lenox, IL 60451
Phone
(708) 768-1590
Fax
(708) 768-1590

Additional practice sites

  • 73 W Monroe Street #422, Chicago, IL

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois