Individual provider Active NPI

Maria Yakos, MHS, CCC-SLP

  • Speech-Language Pathologist
  • Kankakee, IL
National Provider Identifier
1871874826
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242002075 Issued in IL
Practice address
200 E Court St Ste 708
Kankakee, IL 60901-3845
Phone
(815) 043-5548
Fax
(815) 304-5723
NPI assigned
Sep 5, 2011
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242002075 IL Primary

Addresses

Primary practice location

200 E Court St Ste 708
Kankakee, IL 60901-3845

Mailing address

200 E Court St Ste 708
Kankakee, IL 60901-3845
Phone (815) 304-5548

Other practice location 1

1625 E Patmore St
Diamond, IL 60416-6035
Phone (815) 409-6456

Other practice location 2

708 E. Division St.
Coal City, IL 60416
Phone (815) 304-5548

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
242002075ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakos Therapy PC Speech-Language Pathologist Current Accepting new patients

Locations

200 E Court St
Ste 708
Kankakee, IL 60901
Phone (815) 304-5548

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1871874826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 708",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013845",
            "telephone_number": "815-304-5548",
            "fax_number": "815-304-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 708",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013845",
            "telephone_number": "815-043-5548",
            "fax_number": "815-304-5723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 E Patmore St",
            "address_purpose": "LOCATION",
            "city": "Diamond",
            "state": "IL",
            "postal_code": "604166035",
            "country_code": "US",
            "telephone_number": "815-409-6456",
            "fax_number": "815-634-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 E. Division St.",
            "address_purpose": "LOCATION",
            "city": "Coal City",
            "state": "IL",
            "postal_code": "60416",
            "country_code": "US",
            "telephone_number": "815-304-5548",
            "fax_number": "815-304-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKOS",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-05",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242002075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.