Individual provider · Type 1 NPI

Ksenia Mack, PT, DPT

Physical Therapist · Chicago, IL

NPI number 1033817747 Active

Practice location

4657 N Lincoln Ave
Chicago, IL 60625-2024

Mailing address

2028 N Burling St Apt 309
Chicago, IL 60614-4434

Other practice locations

  • 1320 W Fullerton Ave, Chicago, IL 60614-2129 · (773) 770-2419

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X070.027296 (IL)
Physical Therapist 225100000XNone listed
Orthopedic Physical Therapist 2251X0800XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1033817747

Ksenia Mack, PT, DPT's National Provider Identifier is 1033817747, issued on Feb 21, 2023. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Chicago, IL. The record was last updated on Jun 16, 2025.