Mariola Traba, APN
Nurse Practitioner, Family in Chicago, IL. Individual provider (NPI-1).
NPI number1164060117
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1164060117
- Entity type
- Individual (NPI-1)
- Name
- Mariola Traba
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2019
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.020530 | IL | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 209.020530 | IL |
Other names
- Mariola Rymarz (Former Name)
Practice location
5545 N Milwaukee AveChicago, IL 60630-1226
Phone 773-792-8181
Mailing address
5545 N Milwaukee AveChicago, IL 60630-1226
Phone 773-792-8181
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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