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CHARLES MACK
NPI 1679815476
Counselor in Waukegan, IL

Active since March 20, 2013
3002 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8000 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Charles Mack NPPES

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

CHARLES MACK (NPI 1679815476) is an individual counselor in Waukegan, Illinois and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1679815476
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCHARLES MACK
Location Address3002 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3002 Grand AveWaukegan, IL 60085-2321
Phone(847) 377-8000
Sole ProprietorNo
Enumeration DateMarch 20, 2013
✔ NPI 1679815476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3002 GRAND AVE, Waukegan, IL 60085
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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.

ATHENA RATILLA
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
OLIVER JADEN SANCHEZ MHP, EMT
Counselor
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8000
JONI GEER SELL
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
SUNITA GROVER
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
KATHERINE BERGSTROM MHP
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8088
MICHAEL SWEENEY
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
ANGIE STEFANI
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8246
MARIAM SALEH
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (224) 237-7164

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 Charles Mack's NPI number?

The NPI number for Charles Mack is 1679815476. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Charles Mack located?

Charles Mack practices at 3002 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8000.

What is Charles Mack's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Charles Mack was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.