Mary Antos, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

209.005136 Issued in IL

Practice address

10002 S Komensky Ave
Oak Lawn, IL 60453-4140

Phone

(708) 684-4969

Fax

(708) 684-1242

NPI assigned

Oct 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1811222086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 S KOMENSKY AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534140",
            "telephone_number": "708-684-4969",
            "fax_number": "708-684-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 S KOMENSKY AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534140",
            "telephone_number": "708-684-4969",
            "fax_number": "708-684-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOS",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "209.005136",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "041.241416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M Anneken, M.D.
• Vivian Anochili
• Elizabeth Anson, LCPC
• Bessie Anthony, O.D.
• Kayla Antle, PA-C
• Susan Chua Apolinario, M.D.
• Usha Appalaneni, MD
• Araceli I. Feria, M.D.S.C.
• Anna Lucia Aranda, LSW
• Kayla Rose Araujo

• Adult Psychiatric/Mental Health Registered Nurse in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.