Provider Demographics
NPI:1194358580
Name:SHCHERBYUK, MARIYA
Entity Type:Individual
Prefix:
First Name:MARIYA
Middle Name:
Last Name:SHCHERBYUK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 N 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-3621
Mailing Address - Country:US
Mailing Address - Phone:773-396-3106
Mailing Address - Fax:708-358-7796
Practice Address - Street 1:2005 N 75TH AVE
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:IL
Practice Address - Zip Code:60707-3621
Practice Address - Country:US
Practice Address - Phone:773-396-3106
Practice Address - Fax:708-358-7796
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care