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Organization
BROOKFIELD PODIATRY CENTER
Active
Organization
BROOKFIELD PODIATRY CENTER
Active
Parent organization
THOMAS J. MACK
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS J. MACK
Authorized official
DR. THOMAS J. MACK (OWNER)
(630) 390-8360
Entity
Organization
Contact information
Practice address
14 S. ADDISON STREET, BENSENVILLE, IL 60106
(630) 390-8360
Mailing address
21041 W SNOWBERRY LN, PLAINFIELD, IL 60544-6413
(630) 390-8360
(708) 424-1084
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003689
IL
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
01/02/2008
Last updated
05/07/2020
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