Active NPI
Maria Carrie Malak, CRTT
- Home Health Certified Respiratory Therapist
- Naperville, IL
National Provider Identifier
1710124151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- License
- 194003881
- Practice address
- 24024 Brancaster Dr
Naperville, IL 60564-8044 - Phone
- (630) 651-3157
- NPI assigned
- Jan 7, 2009
- 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 |
|---|---|---|---|---|
| Home Health Certified Respiratory Therapist | 2278H0200X | 194003881 | IL | Primary |
Addresses
Primary practice location
24024 Brancaster Dr
Naperville, IL 60564-8044
Mailing address
11745 S Decathalon LN
Plainfield, IL 60585-6143
Phone (815) 254-4051
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 |
|---|---|---|---|
| 194003881 | IL | MD | Home Health Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1710124151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11745 S DECATHALON LN",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605856143",
"telephone_number": "815-254-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24024 BRANCASTER DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648044",
"telephone_number": "630-651-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAK",
"first_name": "MARIA",
"middle_name": "CARRIE",
"name_prefix": "Mrs.",
"credential": "CRTT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "IL",
"license": "194003881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.