Mark Sack DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MARK SACK DPM PC

Practice address

3216 W 115TH St
Chicago, IL 60655-2805

Phone

(773) 238-7270

Fax

(773) 238-9627

NPI assigned

Jul 9, 2006

Last updated

May 22, 2020By 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

Mark Sack, DPMNPI 1548286313

Title

President

Phone

(773) 238-7270

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Sack, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1548286313
  Medicare reassignment NPD Authorized official
• Brian Howard Dunn, DPM

  • Podiatrist
  • Bartlett, IL
  • NPI 1194808451
  NPD (past)
• Thomas James Boysen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1336119445
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1902839194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1262",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600651262",
            "telephone_number": "773-238-7270",
            "fax_number": "773-238-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 W 115TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552805",
            "telephone_number": "773-238-7270",
            "fax_number": "773-238-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SACK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-238-7270",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE0221",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01633481",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark M Weiman DMD LTD
• Mark Mendiola, D.D.S., P.C.
• Mark Milazzo LCPC LTD
• Mark Morris DMD PC (Dental Salon)
• Mark Petroelje, LLC
• Mark T Upton MD Facc SC
• Mark Takesuye, OD, LLC (Takesuye and Chikaraishi Optometry)
• Avery Mark, OTR/L
• Jenna Michele Mark
• Laurie O Mark, MD

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, 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 May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.