Mariola Traba, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.020530 Issued in IL

Practice address

5545 N Milwaukee Ave
Chicago, IL 60630-1226

Phone

(773) 792-8181

NPI assigned

Dec 19, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mariola Rymarz Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New You Chicago PLLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1538495593
  Medicare reassignment NPD
• Beata Danek, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1295788875
  Medicare reassignment
• Covenant Physiatry,SC

  • Physical Medicine & Rehabilitation Physician
  • Hoffman Estates, IL
  • NPI 1710150453
  NPD (past)
• Heyer Celestial Paul Devarapalli MD SC

  • Internal Medicine Physician
  • Arlington Heights, IL
  • NPI 1235327677
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1164060117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301226",
            "telephone_number": "773-792-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301226",
            "telephone_number": "773-792-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABA",
        "first_name": "MARIOLA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.020530",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIOLA",
            "last_name": "RYMARZ",
            "credential": "APN FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tolga Fikret Tozum, DDS, PHD
• Tpa Network Incorporated
• Tpa Network Incorporated
• Tpipt PLLC
• TPN LTD
• Marcelo Yap Trabado, M.D.
• Skye Tracey
• Alan Trachtenberg
• Jaime F Trachtenbert, PT, DPT
• Traci D Coney, LLC

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.