DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JASON S MAYORGA

MEDICARE: JASON S MAYORGA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1578344198
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON S MAYORGA
Provider Business Mailing Address
First Line : 2559 W 79TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-1751
Country : US
Telephone Number : 773-737-9555
Fax Number :
Provider Business Practice Location Address
First Line : 2559 W 79TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-1751
Country : US
Telephone Number : 773-737-9555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2023
Last Update Date : 10/10/2023

Similar Medicare Providers

1972569556 — DR. MASIE VOY ISABELL MD
Practice Location Address:
2559 W 79TH ST
CHICAGO, IL
60652-1751
Practice Phone: 773-737-9555
Practice Fax: 773-737-0401
1356519714 — NEW HOPE COMMUNITY SERVICE CENTER
Practice Location Address:
2559 W 79TH ST
CHICAGO, IL
60652-1751
Practice Phone: 773-737-9555
Practice Fax: 773-737-0401
1497272884 — NEW HOPE COMMUNITY SERVICE CENTER
Practice Location Address:
2559 W 79TH ST
CHICAGO, IL
60652-1751
Practice Phone: 773-737-9555
Practice Fax: 773-737-0401
1023674595 — NEW HOPE COMMUNITY SERVICE CENTER
Practice Location Address:
2559 W 79TH ST
CHICAGO, IL
60652-1751
Practice Phone: 773-737-9555
Practice Fax: 773-737-0401
1447819578 — NEW HOPE COMMUNITY SERVICE CENTER
Practice Location Address:
2559 W 79TH ST
CHICAGO, IL
60652-1751
Practice Phone: 773-737-9555
Practice Fax:
1427779586 — NEW HOPE COMMUNITY SERVICE CENTER
Practice Location Address:
2559 W 79TH ST
CHICAGO, IL
60652-1751
Practice Phone: 773-737-9555
Practice Fax: 708-737-0401

Directions to “ JASON S MAYORGA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.