Active NPI
Mayyadah Zraik
- Professional Counselor
- Hickory Hills, IL
National Provider Identifier
1386233294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 8811 W 87TH St
Hickory Hills, IL 60457-1001 - Phone
- (708) 430-6780
- NPI assigned
- Jan 14, 2021
- Last updated
- Jan 14, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
8811 W 87TH St
Hickory Hills, IL 60457-1001
Mailing address
10300 Parkside Ave Apt 1NW
Oak Lawn, IL 60453-8529
Phone (708) 704-7791
Other practice location 1
8811 W 87th St
Hickory Hills, IL 60457-1001
Phone (708) 430-6780
Other practice location 2
10300 Parkside Ave Apt 1Nw
Oak Lawn, IL 60453-8529
Phone (708) 704-7791
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1386233294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 PARKSIDE AVE APT 1NW",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604538529",
"telephone_number": "708-704-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 W 87TH ST",
"city": "HICKORY HILLS",
"state": "IL",
"postal_code": "604571001",
"telephone_number": "708-430-6780"
}
],
"practiceLocations": [
{
"address_1": "8811 W 87th St",
"address_purpose": "LOCATION",
"city": "Hickory Hills",
"state": "IL",
"postal_code": "604571001",
"country_code": "US",
"telephone_number": "708-430-6780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10300 Parkside Ave Apt 1Nw",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604538529",
"country_code": "US",
"telephone_number": "708-704-7791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZRAIK",
"first_name": "MAYYADAH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.