Active NPI
Maria Mae, PT
- Contractor
- Vernon Hills, IL
National Provider Identifier
1275618191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 070.011093
- Practice address
- 6 E Phillip Rd
Vernon Hills, IL 60061-1700 - Phone
- (847) 362-5353
- Fax
- (847) 362-5393
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 070.011093 | IL | Primary |
Addresses
Primary practice location
6 E Phillip Rd
Vernon Hills, IL 60061-1700
Mailing address
6 E Phillip Rd
Vernon Hills, IL 60061-1700
Phone (847) 362-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40452400 | Medicaid | WI |
Other names 1
- Maria Savchenko
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.011093 | IL | MD | Contractor |
| 10164 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Choice Medical Center LTD | Past | Accepting new patients | |
| Prime Health Medical and Rehab LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Skokie, IL
- NPI 1124224597
-
- Clinic/Center
- Wheeling, IL
- NPI 1568618783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1275618191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 E PHILLIP RD",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611700",
"telephone_number": "847-362-5353",
"fax_number": "847-362-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E PHILLIP RD",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611700",
"telephone_number": "847-362-5353",
"fax_number": "847-362-5393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAE",
"first_name": "MARIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": "070.011093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40452400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "SAVCHENKO",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.