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

Marcus Jack

Individual provider Professional Counselor · NPI 1306591342

Marcus Jack is a Professional Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

12400 S Michigan Ave
Chicago, IL 60628-7347
Phone: (770) 912-5225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180014299 (IL)

Record details

NPI number1306591342
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 17, 2022
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

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