ANDREW MACK – Physical Therapist, NPI 1053421909
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL
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Provider Addresses for ANDREW MACK
Engineering Building, 205, West Upper Wacker Drive, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60606, United States
SUITE 1020
CHICAGO, IL 606061216
Phone: (312) 640-0329
Type: Mailing
900 RAND RD STE 300
DES PLAINES, IL 600162359
Phone: (847) 324-3976
Fax: (847) 929-1154
Type: Mailing
3313, Vollmer Road, Flossmoor, Rich Township, Cook County, Illinois, 60422, United States
FLOSSMOOR, IL 604222003
Phone: (708) 957-5304
Type: Location
20 75TH ST
WILLOWBROOK, IL 605272325
Phone: (630) 384-0600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090318000199 | I | Physical Therapist In Private Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,669 | 192 | $0 |
| 97530 | Therapy procedure using functional activities | 628 | 145 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 276 | 82 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 224 | 70 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 87 | 83 | $0 |
Insurance plans in this area (ZIP 60606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Sports Medicine, Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL |
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