Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Mary Malisa Mathew

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669922647

MS. Mary Malisa Mathew is a Student in an Organized Health Care Education/Training Program in Wheaton, Illinois. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

1725 S Naperville Rd Ste 110
Wheaton, IL 60189-5855
Phone: (815) 469-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669922647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2016
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address123 Kingfield Rd, Philadelphia, PA 19115-4024

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