IndividualActive
Andrew Mack
NPI 1053421909 · Physical Therapist · Willowbrook, IL
Provider details
- NPI number
- 1053421909
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 070-012449 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
20 75th St
Willowbrook, IL 60527-2325
Phone: (630) 384-0600
Approximate (ZIP-level) locationGet directions
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.