Individual
MARY JO MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KT
Contact information
Practice address
3001 GREENBAY, NORTH CHICAGO, IL 60064
(847) 688-1900
Mailing address
1163 POPES CREEK CIR, GRAYSLAKE, IL 60030-1142
(847) 548-5186
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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