Individual provider Active NPI

Maria Carrie Malak, CRTT

  • Home Health Certified Respiratory Therapist
  • Naperville, IL
National Provider Identifier
1710124151
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
License
194003881 Issued in IL
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

Updated by the provider on Jan 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
194003881ILMDHome 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.

Verify at the official NPI Registry.