NPI 1790150340

Mary Kay Yarak

Practitioner Physical Disabilities Residential Treatment Facility Chicago, IL

Practice location

Address: 1537 N Washtenaw Ave, Chicago, IL 60622-1636
Phone: (773) 252-8684

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 057.003810 (IL)

Other Residential Treatment Facility, Physical Disabilities providers in Illinois →

Registry record

NPI: 1790150340
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2015
Record last updated: 8 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.