Organization Active NPI

Mykea LLC

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1972196996
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MYKEA LLC
Practice address
2947 W 79TH St
Chicago, IL 60652-1693
Phone
(312) 522-8486
NPI assigned
Feb 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Mikia Stewart
Title
Otr/L
Phone
(312) 522-8486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

2947 W 79TH St
Chicago, IL 60652-1693

Mailing address

2947 W 79TH St
Chicago, IL 60652-1693
Phone (312) 522-8486

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1972196996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521693",
            "telephone_number": "312-522-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521693",
            "telephone_number": "312-522-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYKEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MIKIA",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "312-522-8486"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.