MARY JO MACK (NPI# 1275784175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275784175 |
| Entity Type | Individual |
| Full Name | MARY JO MACK |
| Credential | KT |
| Practice Address |
3001 Greenbay North Chicago IL 60064 |
| Mailing Address |
1163 Popes Creek Cir Grayslake IL 60030-1142 |
| Practice Telephone | 8476881900 |
| Mailing Telephone | 8475485186 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3001 GREENBAY |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 226300000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Kinesiotherapist |
| A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals. |
| Notes: Source: The Kinesiotherapy Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336498641 | Katelyn Marie Laux | Kinesiotherapist | James A. Lovell Fhcc, 3001 Green Bay Road, North Chicago, IL 60064 | 2012-08-31 |
| 1396383162 | Shelby Irene Presnell | Kinesiotherapist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-12-12 |
| 1598163701 | Rachel Taylor | Kinesiotherapist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2014-12-22 |
| 1336543735 | Ralph Diprospero | Kinesiotherapist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2014-10-14 |
| 1326344730 | David Martin Garcia | Kinesiotherapist | 3001 Green Bay Road, North Chicago, IL 60064 | 2011-02-02 |
| 1386739787 | Karen Lynn Popovic | Kinesiotherapist | 3001 Greenbay Road, North Chicago, IL 60064 | 2006-10-03 |
| 1982700738 | Armando Anima | Kinesiotherapist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-09-16 |
| 1245341262 | Margaret Ferraresi | Kinesiotherapist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-08-31 |
| 1407965270 | Kimberly A. Skorupa | Kinesiotherapist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1902105299 | 0 Limits Inc | Kinesiotherapist | 13215 W Southport Rd, Brimfield, IL 61517-9516 | 2011-03-25 |
| 1467677716 | Altiora Pediatric Services,inc. | Kinesiotherapist | 615 Leonard Pkwy, Crystal Lake, IL 60014-5209 | 2007-04-13 |
| 1538246566 | Frank Mario Nebbia | Kinesiotherapist | Roosevelt and Fifth Ave., Hines, IL 60141 | 2006-11-01 |
| 1215039003 | John Edwin Allen | Kinesiotherapist | 216 Oak Knoll Dr, Lake Villa, IL 60046-8669 | 2006-09-02 |
| 1023129715 | Steven Joseph Oswald | Kinesiotherapist | 2100 South Fifth Avenue, Hines, IL 60141-5000 | 2006-08-31 |
| 1770694051 | Jon Kabance | Kinesiotherapist | 1300 W Belmont Ave Ste 407, Chicago, IL 60657-3242 | 2006-08-31 |
| 1508974593 | Donna Marchini | Kinesiotherapist | 516 Farmhill Cir, Wauconda, IL 60084-1291 | 2006-08-29 |
| 1497862361 | Michael John Sullivan | Kinesiotherapist | 6015 Ridgewood Cir, Downers Grove, IL 60516-1779 | 2006-08-24 |
| 1356354450 | Susan K. Zajeski | Kinesiotherapist | 14622 Creekview Dr, Orland Park, IL 60467-7156 | 2006-08-13 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.