MILENA T MASK (NPI# 1669922654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669922654 |
| Entity Type | Individual |
| Full Name | MILENA T MASK |
| Credential | F.N.P. |
| Practice Address |
7543 183rd St Tinley Park IL 60477-6208 |
| Mailing Address |
500 Kirts Blvd Ste 100 Troy MI 48084-4135 |
| Practice Telephone | 7082632000 |
| Mailing Telephone | 4843461692 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041368107 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014505 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 E 47th St, Chicago, IL 606534507 | 7082632000 | 7082632023 |
| 18660 Graphic Dr, Tinley Park, IL 60477 | 7082632000 | 7082632023 |
| 1000 Burr Ridge Pkwy, Burr Ridge, IL 605270849 | 5307565270 | 5745384859 |
| 7543 183rd St, Tinley Park, IL 604776208 | 7082632000 | |
| 4322 S Evans Ave, Unit 3, Chicago, IL 606534049 | 2693523753 |
| Street Address |
7543 183RD ST |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295937555 | Gregory Lamar Primus | Orthopaedic Surgery | 7543 183rd St, Tinley Park, IL 60477-6208 | 2007-05-31 |
| 1609474832 | Cso Dme-med, LLC | Durable Medical Equipment & Medical Supplies | 7543 183rd St, Tinley Park, IL 60477-6208 | 2020-10-10 |
| 1396363644 | Shareikka Lacole Griffin | Orthopaedic Surgery | 7543 183rd St, Tinley Park, IL 60477-6208 | 2020-07-13 |
| 1700023793 | Primus Orthopedics Sc | Orthopaedic Surgery | 7543 183rd St, Tinley Park, IL 60477-6208 | 2009-01-13 |
| 1548415367 | Dore Elizabeth Robinson | Family Medicine | 7543 183rd St, Tinley Park, IL 60477-6208 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568973956 | Jessica Sue Kot | Nurse Practitioner | 8505 183rd St Ste A, Tinley Park, IL 60487-9354 | 2017-10-12 |
| 1699134247 | Alicia Marie Belcher | Nurse Practitioner | 17749 65th Ave, Tinley Park, IL 60477-4370 | 2016-02-10 |
| 1861862658 | Beth Ann Avanzado | Nurse Practitioner | 18601 North Creek Drive, Tinley Park, IL 60477 | 2015-10-06 |
| 1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
| 1639415979 | Mary Shiellah Blancaflor James | Nurse Practitioner | 6700 167th St Ste 4, Tinley Park, IL 60477-2078 | 2012-12-13 |
| 1750561817 | Kathleen M Bester | Nurse Practitioner | 9551 171st St, Tinley Park, IL 60487-6109 | 2007-11-06 |
| 1629098009 | Oluyemisi Oludoyin Adebayo | Nurse Practitioner | 101 Iliad Dr, Tinley Park, IL 60477-4840 | 2006-07-20 |
| 1477192839 | Ebony Jones | Nurse Practitioner | 7300 191st St, Tinley Park, IL 60487-9361 | 2020-01-03 |
| 1710528740 | Pamela D Piszczek | Nurse Practitioner | 9551 171st St, Tinley Park, IL 60487-6109 | 2019-10-01 |
| 1245703354 | Shawntell Jackson | Nurse Practitioner | 18210 La Grange Rd, Ste 209, Tinley Park, IL 60487-7728 | 2019-01-10 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on MILENA T MASK.
| 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.