Mary Jo Mack, KT

NPI #1275784175 in North Chicago, Illinois

Provider Information

NPI Number: 1275784175
Entity Type: Individual
Name: Mary Jo Mack, KT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Kinesiotherapist
Credential: KT
Enumeration Date: Oct 9, 2008
Last Updated: Oct 9, 2008

Practice Location

Address: 3001 GREENBAY
City: North Chicago
State: Illinois
ZIP Code: 60064
Phone: (847) 688-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Kinesiotherapist	226300000X	Primary

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