MARY KATHERYN AUKSTIK (NPI# 1851421820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851421820 |
| Entity Type | Individual |
| Full Name | MARY KATHERYN AUKSTIK |
| Credential | PA-C |
| Practice Address |
2211 N Oak Park Ave Chicago IL 60707 |
| Mailing Address |
2211 N Oak Park Ave Chicago IL 60707-3351 |
| Practice Telephone | 7736225400 |
| Mailing Telephone | 7736225400 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 070014405 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085003587 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085003587 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 W Harrison, Ste 400, Chicago, IL 606074529 | 3122434244 | 3129421517 |
| 2650 Ridge Ave Ste 2508, Evanston, IL 602011700 | 8475702959 | 8477335385 |
| 9600 Gross Point Rd, Skokie, IL 60076 | 8479336560 | 8476753930 |
| Street Address |
2211 N OAK PARK AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770659 | Shubhra Mukherjee | Pediatrics | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2005-09-16 |
| 1134740111 | Emily Mary Thomas | Occupational Therapist | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2020-05-01 |
| 1093335770 | Kyle Cressy Deane | Psychologist | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2020-04-22 |
| 1295299600 | Allison Ragins | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2019-01-30 |
| 1033686878 | Katrina Marie Vogel | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2018-10-30 |
| 1326536574 | Shriners Hospitals for Children | Anesthesiology | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2018-04-24 |
| 1427550748 | Elizabeth Hampton | Physical Therapist | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2018-03-02 |
| 1366986184 | Lynn Freedman | Nurse Practitioner | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-12-13 |
| 1992256531 | Kelsey Lynn Moon | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2016-10-19 |
| 1760835938 | Pediatric Orthotic and Prosthetic Services - Midwest, LLC | Prosthetic/Orthotic Supplier | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1407331184 | David Reyes | Physician Assistant | 2800 N Sheridan Rd Ste 209, Chicago, IL 60657-6157 | 2018-09-28 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1811494917 | Nicole Fisch | Physician Assistant | 7447 W Talcott Ave Ste 512, Chicago, IL 60631-3716 | 2018-04-06 |
| 1477909448 | Temidayo Olugbenga Odugbesan | Physician Assistant | 7016 S Sangamon St, Apt 3s, Chicago, IL 60621-1759 | 2016-05-10 |
| 1689096257 | Natalie Elizabeth Warmuth | Physician Assistant | 830 West Diversey Pkwy., Suite 300, Chicago, IL 60614-8711 | 2014-01-15 |
| 1184062754 | Lindsay Christine Jones | Physician Assistant | 205 East Huron, Northwestern Memorial Hospital Galter 11-140, Chicago, IL 60611 | 2013-06-05 |
| 1366741449 | Monica L Fiehler | Physician Assistant | 3537 Paysphere Cir, Chicago, IL 60674-0001 | 2011-03-15 |
| Find all providers in CHICAGO | ||||
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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.