Dr. Astrid K. Mack, MD
Pediatrics, Pediatric Hematology-Oncology in Chicago, IL. Individual provider (NPI-1).
NPI number1700948643
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700948643
- Entity type
- Individual (NPI-1)
- Name
- Dr. Astrid K. Mack
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | 036116950 | IL | Yes |
Practice location
2300 N Childrens Plz # 30Chicago, IL 60614-3363
Phone 773-880-4074
Mailing address
2300 N Childrens Plz # 118Chicago, IL 60614-3363
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