Veronica Mack

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

07921021 Issued in IL

Legal business name

VERONICA MACK

Practice address

9738 S Merrion Ave
Chicago, IL 60617-4846

Phone

(773) 673-3960

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veronica Mack, #0792-1021

Title

Cna

Phone

(773) 673-3960

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1194271825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9738 S MERRION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60617",
            "telephone_number": "773-673-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 S MERRION AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174846",
            "telephone_number": "773-673-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONICA MACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "773-673-3960",
        "authorized_official_credential": "#0792-1021"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "07921021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA",
            "identifier": "07921021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Vernon-Cwik, LCSW
• Eboni Nikia Vernon
• Laura Engel Vernon, MD
• Michael Vernon, LCSW
• Oacy Veronesi, OTR/L
• Marion S. Verp, M.D.
• Michael Verre
• Lauren Verrilli
• Kolby Duke Versage
• Kathryn Emily Verschure

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.