LARA MACK PA-C
NPI 1679854459
Physician Assistant in Chicago, IL

Q: What is Lara Mack's NPI number?

The NPI number for Lara Mack is 1679854459. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Q: What is Lara Mack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lara Mack was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 07, 2011PECOS EnrolledAccepts Medicare Assignment

251 E HURON ST, CHICAGO, IL 60611(312) 926-6222 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lara Mack Pa-c NPPES

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

LARA MACK PA-C (NPI 1679854459) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (1098900) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679854459

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLARA MACKCredential: PA-C

Location Address251 E HURON STChicago, IL 60611-2908

Mailing Address211 E Ontario St, Suite 200Chicago, IL 60611-3468 · (312) 926-6222

Phone(312) 926-6222

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 7, 2011

Last NPPES UpdateFebruary 29, 2016

✔ NPI 1679854459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 1098900

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

251 E HURON ST, Chicago, IL 60611

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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 and accepts Medicare assignment

Lara Mack Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264609189

PECOS Enrollment IDI20120118000235

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARK WANG M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611

Cook County (312) 503-8144

DR. MARLEY ANN DOYLE M/D.

Psychiatry & Neurology (Psychiatry)

251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611

Cook County (312) 926-6895

CASSIDY SCHWAB MD

Anesthesiology