MRS. MARY ANTOS (NPI# 1811222086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811222086 |
| Entity Type | Individual |
| Full Name | MRS. MARY ANTOS |
| Credential | RN |
| Practice Address |
10002 S Komensky Ave Oak Lawn IL 60453-4140 |
| Practice Telephone | 7086844969 |
| Practice Fax Number | 7086841242 |
| Mailing Telephone | 7086844969 |
| Mailing Fax Number | 7086841242 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
041.241416 | IL | Nursing Service Providers |
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
209.005136 | IL | Nursing Service Providers |
| Street Address |
10002 S KOMENSKY AVE |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579103 | Michele Ann Becker | Registered Nurse | 2030 Seminary Rd, Woodstock, IL 60098-6009 | 2020-05-15 |
| 1710519046 | Shaw Community Integration Services | Registered Nurse | 8119 S Vernon Ave, Chicago, IL 60619-4913 | 2020-02-05 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1336550557 | Jill E Divita | Registered Nurse | 1230 N. Highland Ave, Aurora, IL 60506 | 2014-05-09 |
| 1811249915 | Jasmina Peric | Registered Nurse | 14607 Stonegate Drive, Homer Glen, IL 60491 | 2012-10-12 |
| 1043502073 | Bethany A Young | Registered Nurse | 1305 E Indian Trl, Aurora, IL 60505-1600 | 2011-05-10 |
| 1427298298 | Mercy Chirpich | Registered Nurse | 18w082 Jamestown Ln, Villa Park, IL 60181-3865 | 2009-03-05 |
| 1326232372 | Marilyn Dam Rabolt | Registered Nurse | 112 Marryat Rd, Trout Valley, IL 60013-2644 | 2007-09-04 |
| 1518034784 | Marilyn Margarita Weaver | Registered Nurse | 2126 Marston Ln, Flossmoor, IL 60422-1334 | 2006-11-30 |
| 1386758266 | David Sachs | Registered Nurse | 333 N Michigan Ave Ste 1900, Chicago, IL 60601-3994 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
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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.