MARY KULIKOWSKI (NPI# 1083018162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083018162 |
| Entity Type | Individual |
| Full Name | MARY KULIKOWSKI |
| Credential | FNP |
| Practice Address |
5547 N Ravenswood Ave Chicago IL 60640-1125 |
| Practice Telephone | 7737694313 |
| Mailing Telephone | 7737694313 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
041.107696 | IL | Nursing & Custodial Care Facilities |
| Street Address |
5547 N RAVENSWOOD AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145853 | Victor C. Neumann Association | Case Management | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2005-06-21 |
| 1467940437 | Tyler Mueller | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2018-04-25 |
| 1003361247 | Emma Macdougall | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2016-08-17 |
| 1578016051 | Elisa Maurer | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2016-08-01 |
| 1770934838 | Victor C Neumann Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5547 N Ravenswood Ave, 1st Floor, Chicago, IL 60640-1125 | 2016-06-29 |
| 1326458936 | Allison Kathrine Templeton | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2014-05-05 |
| 1962832550 | Cory Nietzke | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2013-11-18 |
| 1952678583 | Erin Carroll | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2011-11-28 |
| 1528211448 | Eric G. Brooks | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640 | 2008-10-23 |
| 1982876363 | Sara Michelle Miller | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2008-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962954099 | State of Illinois Department of Human Services | Custodial Care Facility | 10724 S Indiana Ave, Chicago, IL 60628-3615 | 2016-10-24 |
| 1316334907 | Dean Homecare LLC | Custodial Care Facility | 6604 N Ashland Ave, 3 J, Chicago, IL 60626-4151 | 2015-04-21 |
| 1801262522 | Total Healthcare/america's Disabled-physician Home Visits | Custodial Care Facility | 5906 N Milwaukee Ave, Chicago, IL 60646-5420 | 2015-08-17 |
| 1538546825 | Gericare Associates, Sc. | Custodial Care Facility | 6201 W Touhy Ave, Chicago, IL 60646-1100 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215302583 | Epilepsy Foundation of Greater Southern Illinois | Custodial Care Facility | 3515 N Belt W, Belleville, IL 62226-5944 | 2015-12-11 |
| 1881015329 | St Clair Supportive Living Lp | Custodial Care Facility | 921 Knollwood Village Rd, Caseyville, IL 62232-1808 | 2013-12-31 |
| 1700100971 | Good Shepherd Manor, Inc | Custodial Care Facility | 4129 N State Routes 1 & 17, Momence, IL 60954-0260 | 2010-03-17 |
| 1386895381 | Rickcare, LLC | Custodial Care Facility | 2490 County Road 550 E, Dewey, IL 61840-9725 | 2008-10-08 |
| 1689844912 | Parents and Friends of The Community Integration Services | Custodial Care Facility | 212 S. 32nd St, Belleville, IL 62226 | 2008-03-03 |
| 1568630390 | Halsted Shelter Care | Custodial Care Facility | 16044 Halsted St, Harvey, IL 60426-5201 | 2008-02-14 |
| 1326110594 | Jjr Enterprises Inc | Custodial Care Facility | 2025 Broadway St Ste B, Mount Vernon, IL 62864-2935 | 2006-11-14 |
| 1003805672 | Westmont Convalescent Center | Custodial Care Facility | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2005-10-17 |
| 1720613748 | Cass County Mental Health Assoc | Custodial Care Facility | 121 E 2nd St, Beardstown, IL 62618-1263 | 2020-03-10 |
| 1104210533 | Arthur Dupree Carson | Custodial Care Facility | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2015-03-24 |
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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.