Provider Demographics
NPI:1801775242
Name:MACAK, ERIC DANIEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DANIEL
Last Name:MACAK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11543 TWIN LAKES DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5234
Mailing Address - Country:US
Mailing Address - Phone:708-420-3807
Mailing Address - Fax:
Practice Address - Street 1:1700 1ST AVE
Practice Address - Street 2:
Practice Address - City:ROCK FALLS
Practice Address - State:IL
Practice Address - Zip Code:61071-3010
Practice Address - Country:US
Practice Address - Phone:815-626-9562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051307322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist