Provider Demographics
NPI:1598279606
Name:MAYERAK, DAWN ANN (MHS, CCC-SLP/ L)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ANN
Last Name:MAYERAK
Suffix:
Gender:F
Credentials:MHS, CCC-SLP/ L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 151ST ST
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-1841
Mailing Address - Country:US
Mailing Address - Phone:708-687-0900
Mailing Address - Fax:708-687-5695
Practice Address - Street 1:1130 KIM PL
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-4317
Practice Address - Country:US
Practice Address - Phone:630-257-2286
Practice Address - Fax:630-243-3006
Is Sole Proprietor?:No
Enumeration Date:2017-11-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.001083235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist