Todd M Mack, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005154 Issued in IL

Practice address

18 Chicago Ave
Oak Park, IL 60302

Phone

(773) 253-3933

Fax

(773) 437-6780

NPI assigned

Aug 31, 2006

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Street Health Physicians Group, PC

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1083051643
  Medicare reassignment Care Compare group NPD
• Heel to Toe Clinic

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
  • NPI 1407392418
  NPD (past) Authorized official
• Osh-Il Physicians Group LLC

  • Primary Care Clinic/Center
  • East Saint Louis, IL
  • NPI 1265977698
  NPD
• Healthdrive Podiatry Group, PC

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Princeton, NJ
  • NPI 1013106533
  NPD
• Healthdrive Podiatry Group, PC

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Brookfield, WI
  • NPI 1679504427

  Foot & Ankle Surgery

  NPD
• Healthdrive Podiatry Group, PC

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Dublin, OH
  • NPI 1689613598
  NPD
• Aggeus Healthcare, P.C.

  • Podiatrist
  • Chicago, IL
  • NPI 1033156955
  NPD (past)
• Asg Onsite Podiatry of Ia 1 PC

  • Podiatrist
  • Chicago, IL
  • NPI 1598016503
  NPD (past)
• Northern Illinois Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Lake in the Hills, IL
  • NPI 1760922504
  NPD (past)
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1700282175
  NPD (past)
• Timothy a Van Dyne DPM Inc

  • Podiatric Clinic/Center
  • Fresno, CA
  • NPI 1962629824
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1114039369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60302",
            "telephone_number": "773-253-3933",
            "fax_number": "773-437-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Rose St",
            "address_purpose": "LOCATION",
            "city": "Franklin Park",
            "state": "IL",
            "postal_code": "601312928",
            "country_code": "US",
            "telephone_number": "847-455-5233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "857 W Childs Ave",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416862",
            "country_code": "US",
            "telephone_number": "866-682-4842",
            "fax_number": "209-385-5674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "857 W Childs Ave",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416862",
            "country_code": "US",
            "telephone_number": "866-682-4842",
            "fax_number": "209-385-5674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "TODD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "892-025",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "5325",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43267600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005154",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43237200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01634612",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@oakstreethealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18 Chicago Ave",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603022402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine D Lynch, MD
• Lyndon D. Taylor,M.D.,LLC
• Magdalena Lyszczarczyk
• M Street Pediatric Therapy Corp
• Bruce Mac Kenzie, M.D.
• Steffy Macwan-Christian
• Ameena Syeda Madani, PA
• Lee L Madden, PSYD
• Rebecca Grace Maddrell, M.D.
• Madeleine M. Butler

• Foot & Ankle Surgery Podiatrist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.