MARY KAY YARAK (NPI# 1790150340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790150340 |
Entity Type | Individual |
Full Name | MARY KAY YARAK |
Practice Address |
1537 N Washtenaw Ave Chicago IL 60622-1636 |
Practice Telephone | 7732528684 |
Mailing Telephone | 7732528684 |
Enumeration Date | 2015-12-08 |
Last Update Date | 2015-12-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 057.003810 | IL | Residential Treatment Facilities |
Street Address |
1537 N WASHTENAW AVE |
City | CHICAGO |
State | IL |
Zip Code | 60622-1636 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
Find all providers in zip 60622 |
Taxonomy Code | 320700000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Physical Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609890235 | State of Illinois | Residential Treatment Facility, Physical Disabilities | 2424w.charleston, Chicago, IL 60647 | 2006-07-27 |
1801298690 | Ella Ostrovskaya Dpm, S.c. | Residential Treatment Facility, Physical Disabilities | 3631 N Harlem Ave, Chicago, IL 60634-2237 | 2014-09-23 |
1730580523 | The Children's Place Association | Residential Treatment Facility, Physical Disabilities | 3059 W Augusta Blvd, Chicago, IL 60622-4314 | 2014-09-11 |
1932453347 | Genesis Rehab Services | Residential Treatment Facility, Physical Disabilities | 6700 S Keating Ave, Chicago, IL 60629-5660 | 2012-11-07 |
1982914123 | Globcare, Inc | Residential Treatment Facility, Physical Disabilities | 4747 W Peterson Ave, Suite 105, Chicago, IL 60646-5712 | 2010-10-20 |
1407020233 | Allcare Therapeutic System | Residential Treatment Facility, Physical Disabilities | 6322 S Pulaski Rd, Chicago, IL 60629-4706 | 2008-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356890453 | Dhs | Residential Treatment Facility, Physical Disabilities | 109 W Wilson St, Fairfield, IL 62837-1816 | 2016-09-30 |
1629448592 | Lilia Perez | Residential Treatment Facility, Physical Disabilities | 225 Westview St, Hoffman Estates, IL 60169-3055 | 2015-10-04 |
1912394354 | Rehab Care | Residential Treatment Facility, Physical Disabilities | 5112 Johnson Ave, Western Springs, IL 60558-1913 | 2015-04-23 |
1871897694 | Unicare Home Health Inc. | Residential Treatment Facility, Physical Disabilities | 3862 Rita Dr, Richton Park, IL 60471-1283 | 2011-01-09 |
1598942252 | Home Bound Eye Care Services Ltd | Residential Treatment Facility, Physical Disabilities | 5301 Touhy Ave, Suite 100, Skokie, IL 60077-3247 | 2008-01-24 |
1922185958 | Dav-kim Portable X Ray Service Co | Residential Treatment Facility, Physical Disabilities | 8235 Christiana Ave, Skokie, IL 60076-2910 | 2006-11-01 |
1619359866 | Ton Shen Health, Inc. | Residential Treatment Facility, Physical Disabilities | 665 Pasquinelli Dr, Suite 203, Westmont, IL 60559-1279 | 2015-06-24 |
1285013235 | Quality Therapy and Consultation | Residential Treatment Facility, Physical Disabilities | 28w141 Liberty St, Winfield, IL 60190-1955 | 2015-05-22 |
1518371244 | Wheatland Management | Residential Treatment Facility, Physical Disabilities | 700 N Henrietta St, Effingham, IL 62401-1720 | 2014-06-20 |
1598175473 | Pro Body Wellness Inc | Residential Treatment Facility, Physical Disabilities | 7900 N Milwaukee Ave, Suite#2-29, Niles, IL 60714-3159 | 2014-05-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.