| Mark Sack Dpm Pc | |
|
3216 W 115th St, Chicago, IL 60655-2805 | |
| (773) 238-7270 | |
| (773) 238-9627 |
| Full Name | Mark Sack Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3216 W 115th St, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902839194 | NPI | - | NPPES |
| 01633481 | Other | IL | BCBS |
| DE0221 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Mark D Sack |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548286313 PECOS PAC ID: 9537156542 Enrollment ID: I20040429001103 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Sack Dpm Pc Po Box 1262, Northbrook, IL 60065-1262 Ph: (773) 238-7270 | Mark Sack Dpm Pc 3216 W 115th St, Chicago, IL 60655-2805 Ph: (773) 238-7270 |
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