Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coresair Anton Mack

Individual provider Mental Health Counselor · NPI 1336696582

Coresair Anton Mack is a Mental Health Counselor in Dekalb, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

220 E Hillcrest Dr Apt 4210
Dekalb, IL 60115-2452
Phone: (847) 421-4613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180012529 (IL)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1336696582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 6, 2016
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing address220 E Hillcrest Dr Apt 4210, Dekalb, IL 60115-2452

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