Mariah Tkachenko, LMT

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

227011440 Issued in IL

Practice address

4956 W Irving Park Rd
Chicago, IL 60641-2640

Phone

(773) 725-5835

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1710363320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 E THACKER ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166431",
            "telephone_number": "773-870-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412640",
            "telephone_number": "773-725-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACHENKO",
        "first_name": "MARIAH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "227011440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ria Y Tjiong, D.C.
• Vehniah Kristin Tjong, M.D.
• Melissa Yuwono Tjota, MD, PHD
• TK Physical Therapy and Sports Performance PLLC
• Igor Tkachenko, MD
• Joanna Tkacz, AGENT
• Evan Tkaczyk, PA-C
• Stephanie Samantha Tkaczyk, OTR/L
• Sylvia Tkalitch, PT
• Tkoz Holdings LLC

• Rehabilitation Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.