Provider Demographics
NPI:1871874826
Name:YAKOS, MARIA (MHS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:YAKOS
Suffix:
Gender:F
Credentials:MHS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E COURT ST STE 708
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-3845
Mailing Address - Country:US
Mailing Address - Phone:815-304-5548
Mailing Address - Fax:815-304-5723
Practice Address - Street 1:200 E COURT ST STE 708
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-3845
Practice Address - Country:US
Practice Address - Phone:815-043-5548
Practice Address - Fax:815-304-5723
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-05
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242002075235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist