Individual Healthcare Provider
Todd M Mack, D.P.M.
Provider's NPPES record last updated: June 9, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1114039369
- Primary Specialty
- Podiatrist — Foot & Ankle Surgery
- Practice Location
- Oak Park, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 22, 2026, 2:04 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Podiatrist
Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213ES0103X
Provider-Reported License Information
- Podiatrist (Illinois)
- 016005154
- Podiatrist (Wisconsin)
- 892-025
- Podiatrist (California)
- 5325
Practice Locations
Practice Location
18 Chicago Ave
Oak Park, Illinois 60302
Phone: (773) 253-3933
Additional Practice Location
2821 Rose St
Franklin Park, Illinois 60131-2928
Phone: (847) 455-5233
Additional Practice Location
857 W Childs Ave
Merced, California 95341-6862
Phone: (866) 682-4842
Fax: (209) 385-5674
Additional Practice Location
857 W Childs Ave
Merced, California 95341-6862
Phone: (866) 682-4842
Fax: (209) 385-5674
Record Information
- Enumeration Date
- August 31, 2006
- Provider's NPPES Record Last Updated
- June 9, 2025
- Certification Date
- June 9, 2025
- NPISignal NPPES Dataset
- August 2026
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