Active NPI
Mary Kathleen Javurek Lee, DT/DTH
- Developmental Therapist
- Machesney Park, IL
National Provider Identifier
1366578692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- ML77010603P
- Practice address
- 4598 Minns Dr
Machesney Park, IL 61115-1933 - Phone
- (815) 282-3738
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | ML77010603P | IL | |
| Developmental Therapist | 222Q00000X | ML77010603P | IL | Primary |
Addresses
Primary practice location
4598 Minns Dr
Machesney Park, IL 61115-1933
Mailing address
4598 Minns Dr
Machesney Park, IL 61115-1933
Phone (815) 505-9689
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
| License | State | Type | Specialty |
|---|---|---|---|
| ML77010603P | IL | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1366578692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4598 MINNS DR",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611151933",
"telephone_number": "815-505-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4598 MINNS DR",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611151933",
"telephone_number": "815-282-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVUREK LEE",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "DT/DTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "IL",
"license": "ML77010603P",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "ML77010603P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Machesney Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.