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

Shale Mack, MD

Individual provider Surgery Physician · NPI 1154174316

Shale Mack, MD is a Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave # 6040
Chicago, IL 60637-1443
Phone: (773) 702-6337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.083402 (IL)

Record details

NPI number1154174316
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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