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Individual

MARK ANTHONY MACAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5701 W MONEE MANHATTAN RD STE 109, MONEE, IL 60449-8091
(708) 305-7678
Mailing address
10330 S 82ND AVE, PALOS HILLS, IL 60465-1830
(708) 420-3677

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019034327
IL
1223G0001X
General Practice Dentistry
019034327
IL

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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