Provider Demographics
NPI:1801694393
Name:STAYONTRACK, INC
Entity type:Organization
Organization Name:STAYONTRACK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:DULAENY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:312-343-0038
Mailing Address - Street 1:5100 N MARINE DR APT 18B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-6363
Mailing Address - Country:US
Mailing Address - Phone:312-343-0038
Mailing Address - Fax:
Practice Address - Street 1:5100 N MARINE DR APT 18B
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-6363
Practice Address - Country:US
Practice Address - Phone:312-343-0038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty