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1154174316
SHALE MACK
CHICAGO, IL
NPI
1154174316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IL 125.083402)
Enumeration Date
2024-04-08
Last Update Date
2024-05-03
Business Address
SHALE MACK MD
5841 S MARYLAND AVE # 6040
CHICAGO, IL 60637-1443
Phone number: 773-702-6337
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Mailing Address
SHALE MACK MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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