MARY L PRYKA (NPI# 1972590719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972590719 |
| Entity Type | Individual |
| Full Name | MARY L PRYKA |
| Credential | NP |
| Practice Address |
8915 W Golf Rd Niles IL 60714-5905 |
| Mailing Address |
25070 Network Pl Chicago IL 60673-1250 |
| Practice Telephone | 8478279060 |
| Practice Fax Number | 8478277196 |
| Mailing Telephone | 8475857000 |
| Mailing Fax Number | 8472400622 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2013-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209004174 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | 208179 | 01 |
| Street Address |
8915 W GOLF RD |
| City | NILES |
| State | IL |
| Zip Code | 60714-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328878 | Leonard M Klein | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-09-29 |
| 1326548678 | Laboratory Corporation of America | Clinical Medical Laboratory | 8915 W Golf Rd, Niles, IL 60714-5905 | 2018-02-13 |
| 1922530856 | Steve Chan | Pharmacist | 8915 W Golf Rd, Niles, IL 60714-5905 | 2017-03-30 |
| 1861864175 | Catherine Majcher | Nurse Practitioner | 8915 W Golf Rd, Niles, IL 60714-5905 | 2015-10-26 |
| 1891038204 | Sonia Christian | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714 | 2013-04-03 |
| 1619219722 | Kristen Wendell | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714 | 2013-03-27 |
| 1295910800 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 8915 W Golf Rd, Niles, IL 60714-5905 | 2008-01-02 |
| 1649343864 | Illinois Cancer Specialists | Pharmacy | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-11-16 |
| 1689762502 | Joel Schwartz | Radiology | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-10-10 |
| 1164483913 | Illinois Cancer Specialists | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023668951 | Rebecca L Wolff | Nurse Practitioner | 42 N Saint Joseph Ave Ste 101, Niles, MI 49120-2203 | 2019-09-12 |
| 1780675140 | Jennifer Lynn Zizzo | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2005-11-03 |
| 1922621556 | Angela Coleman | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2020-05-18 |
| 1205372612 | Sara H. Zike | Nurse Practitioner | 7900 N Milwaukee Ave, Ste 17, Niles, IL 60714-3159 | 2017-01-09 |
| 1275988867 | Joan Madsen | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2016-05-02 |
| 1174984413 | Amanda Leigh Mills | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2016-03-15 |
| 1083960652 | Lauren-shylene Luna Toscano | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2012-08-01 |
| 1851556542 | Catherine Murr | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 200, Niles, MI 49120-2203 | 2008-07-23 |
| 1700836699 | Teri S. Peak | Nurse Practitioner | 42 N Saint Joseph Ave, 101, Niles, MI 49120-2203 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
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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.