1. Home
  2. Directory
  3. Illinois
  4. Dekalb
  5. Counselor
  6. NPI Profile

CORESAIR ANTON MACK
NPI 1336696582
Counselor - Professional in Dekalb, IL

Active since September 06, 2016
220 E HILLCREST DR APT 4210, DEKALB, IL 60115(847) 421-4613 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coresair Anton Mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORESAIR ANTON MACK (NPI 1336696582) is an individual professional provider in Dekalb, Illinois, licensed in Illinois (180012529) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1336696582
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCORESAIR ANTON MACK
Location Address220 E HILLCREST DR APT 4210Dekalb, IL 60115-2452
Mailing Address220 E Hillcrest Dr Apt 4210Dekalb, IL 60115-2452 · (847) 421-4613
Phone(847) 421-4613
Sole ProprietorYes
Enumeration DateSeptember 6, 2016
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1336696582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180012529
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
220 E HILLCREST DR APT 4210, Dekalb, IL 60115
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coresair Mack's NPI number?

The NPI number for Coresair Mack is 1336696582. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Coresair Mack located?

Coresair Mack practices at 220 E Hillcrest Dr Apt 4210, Dekalb, IL 60115. The listed phone number is (847) 421-4613.

What is Coresair Mack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Coresair Mack was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.