IndividualActive
Mary Kay Yarak
NPI 1790150340 · Physical Disabilities Residential Treatment Facility · Chicago, IL
Provider details
- NPI number
- 1790150340
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 057.003810 (IL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1537 N Washtenaw Ave
Chicago, IL 60622-1636
Phone: (773) 252-8684
Approximate (ZIP-level) locationGet directions
Mailing address
1537 N Washtenaw Ave
Chicago, IL 60622-1636
Registry dates
- Enumerated
- 2015-12-08
- Last updated
- 2015-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.