Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORESAIR ANTON MACK
Active Sole ProprietorCORESAIR ANTON MACK is a Professional Counselor healthcare provider located in DEKALB, Illinois. NPI 1336696582 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · DEKALB, IL
Registration Details
- NPI Number
- 1336696582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2016 (9.9193898999882 yrs)
- Last Updated
- May 6, 2021
- License
-
180012529 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
220 E HILLCREST DR APT 4210DEKALB, IL, 601152452Browse IL providers · Browse ZIP 60115
- Phone
- 8474214613
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in DEKALB, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL E STASI | — | 1659347680 |
| MRS. SUZANNE MARIE KRZYZEK | LCPC | 1154408565 |
| MR. GARY P CARTER | MS, NCC, LCPC | 1831262153 |
| HEATHER MUCHA | MS, LCPC | 1629141916 |
| JACQUELIN PIPPEL | MA, LCPC | 1669545851 |
| SHANNON MICHELLE UNDERWOOD | MS ED, NCC, LCPC | 1104999317 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.