Individual provider Active NPI

Maria Garica-Desjarlait, EI

  • Early Intervention Provider Agency
  • Elgin, IL
National Provider Identifier
1194306704
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
362167743 Issued in IL
Practice address
1308 Inverness Dr
Elgin, IL 60120-8165
Phone
(773) 715-6567
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 362167743 IL Primary

Addresses

Primary practice location

1308 Inverness Dr
Elgin, IL 60120-8165

Mailing address

1308 Inverness Dr
Elgin, IL 60120-8165
Phone (773) 715-6567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
362167743ILMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1194306704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 INVERNESS DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601208165",
            "telephone_number": "773-715-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 INVERNESS DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601208165",
            "telephone_number": "773-715-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARICA-DESJARLAIT",
        "first_name": "MARIA",
        "credential": "EI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "362167743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.