Mack, Angell Y

Mack, Angell Y is an individual health care provider with primary practice located at 620 N Walnut St , Springfield IL 62702-4930. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mack, Angell Y can be contacted via phone (217) 544-4631.

Contact Information

Primary practice address
620 N Walnut St Springfield IL 62702-4930
Phone: (217) 544-4631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1346899499
LBN Legal business name Mack, Angell Y
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Sep 10th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers