MARY FISK (NPI# 1578812202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578812202 |
| Entity Type | Individual |
| Full Name | MARY FISK |
| Practice Address |
11231 Distinctive Dr Orland Park IL 60467-9458 |
| Mailing Address |
Po Box 379 Orland Park IL 60462-0379 |
| Practice Telephone | 8004619533 |
| Practice Fax Number | 7084781302 |
| Mailing Telephone | 7084609833 |
| Mailing Fax Number | 7084601117 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180007068 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174800601 | Mary June Fisk | Chiropractor | 750 Logan St, Louisville, KY 40204-1852 | 2011-11-11 |
| 1811280308 | Mary Ruth Fisk | Licensed Practical Nurse | 550 Main St, 230, New Brighton, MN 55112-3271 | 2011-05-17 |
| 1700187218 | Mary Heather Fisk | Occupational Therapy Assistant | 6804 Sanger Ave, #227, Waco, TX 76710-4257 | 2010-11-15 |
| Street Address |
11231 DISTINCTIVE DR |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-9458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649228701 | Nathan R Jaisingh | Registered Nurse | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2006-05-04 |
| 1578030151 | Amanda Kay Amiti | Psychiatry & Neurology | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2018-10-31 |
| 1740701036 | Gina Smith | Counselor | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2017-06-28 |
| 1225493364 | Gail D Lemon | Registered Nurse | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2015-12-16 |
| 1114298148 | Michelle Mannino-purkey | Marriage & Family Therapist | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2012-01-23 |
| 1336472943 | Michelle Renee Myers | Clinical Neuropsychologist | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2009-09-14 |
| 1457528747 | Amy Pawlowski | Social Worker | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2008-05-15 |
| 1013118413 | Benchmark Psychiatric Services, Ltd. | Nurse Practitioner | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2007-05-31 |
| 1740335975 | Mary B. Wells | Nurse Practitioner | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2007-01-25 |
| 1598870016 | Lucinda Jeanne Clark | Nurse Practitioner | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689147993 | Karen T Butler-cook | Counselor | 9031 W 151st St Ste 102, Orland Park, IL 60462-6562 | 2019-01-09 |
| 1699261263 | Daniel B Santangelo | Counselor | 11512 183rd Pl Ste Ne, Orland Park, IL 60467-9499 | 2018-07-07 |
| 1821588310 | Marko Sipka | Counselor | 9641 W 153rd St Ste 48, Orland Park, IL 60462-3777 | 2018-05-10 |
| 1548654635 | Kasia Budyn | Counselor | 15127 S 73rd Ave Ste C, Orland Park, IL 60462-3463 | 2015-03-26 |
| 1184041840 | Dana Hall | Counselor | 11309 Distinctive Dr # 11309, Orland Park, IL 60467-9490 | 2014-03-19 |
| 1992145742 | Mona M Mason | Counselor | 14475 John Humphrey Drive, Suite C, Orland Park, IL 60462 | 2013-06-26 |
| 1366729584 | Nancy L Bonnevier | Counselor | 9153 Fairmont Ct, Orland Park, IL 60462-6524 | 2011-11-16 |
| 1265735120 | Kenneth Louis Dalla Costa | Counselor | 15363 Tulip Ct, Orland Park, IL 60462-5024 | 2010-12-15 |
| 1033424346 | Marie Suzanne Doctor | Counselor | 15127 S. 73rd Ave, Suite G, Orland Park, IL 60462-4398 | 2010-08-11 |
| 1720315955 | Terri Eakins | Counselor | 15641 114th Ave, Orland Park, IL 60467-4476 | 2009-11-09 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
Please comment or provide details below to improve the information on MARY FISK.
| 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.