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KAELA MACK
NPI 1376491308
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 17, 2026PECOS Enrolled
801 S PAULINA ST, CHICAGO, IL 60612(312) 996-7555 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaela Mack NPPES

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

KAELA MACK (NPI 1376491308) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376491308
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameKAELA MACK
Location Address801 S PAULINA STChicago, IL 60612-7210
Mailing Address820 South Wood Street, Suite 100, Mc 675Chicago, IL 60612 · (312) 996-2933
Phone(312) 996-7555
Sole ProprietorNo
Enumeration DateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1376491308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
801 S PAULINA ST, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaela Mack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH GEHRKE DDS
Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Cook County (312) 355-1661
DR. NATHANIEL DANCYKIER D.D.S.
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-8925
PAULINE PHAM DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-1222
DR. RACHEL LYN DZIUBA DMD
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555
DR. MARY ROMAN DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7514
ANDREA E REALE REYES
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-9158
RUBA HALASA
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-2669
AMANDA BEATRIZ RODRIGUEZ BETANCOURT DDS
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555

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 Kaela Mack's NPI number?

The NPI number for Kaela Mack is 1376491308. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Kaela Mack located?

Kaela Mack practices at 801 S Paulina St, Chicago, IL 60612. The listed phone number is (312) 996-7555.

What is Kaela Mack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaela Mack enrolled in Medicare?

Yes. Kaela Mack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaela Mack was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.