Diana Maberry

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

13757 Issued in IL

Practice address

17314 Burr Oak LN
Hazel Crest, IL 60429-1608

Phone

(708) 566-1196

Fax

(708) 335-2823

NPI assigned

Apr 27, 2012

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1871851774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17314 BURR OAK LN",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291608",
            "telephone_number": "708-566-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17314 BURR OAK LN",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291608",
            "telephone_number": "708-566-1196",
            "fax_number": "708-335-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABERRY",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "13757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yang Liu, M.D.
• Monica Logan, MD
• Annette Loni
• David S Looyenga, M.D.
• Christine M Lukanich, CNM/WHNP
• Gladys Macagba, D.O
• Aaron James Magana, DO
• Robin Major, FNP-BC
• Usha D Malkerneker, MD
• Management Services Team Inc.

• Non-emergency Medical Transport (VAN) in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.