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MARY EMBALABALA
NPI 1689133068
Student in an Organized Health Care Education/Training Program in Athens, IL

Active since March 15, 2019
17586 KINCAID ST, ATHENS, IL 62613(217) 741-7832 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Embalabala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY EMBALABALA (NPI 1689133068) is an individual student in an organized health care education/training program in Athens, Illinois and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1689133068
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY EMBALABALA
Location Address17586 KINCAID STAthens, IL 62613-7574
Mailing Address17586 Kincaid StAthens, IL 62613-7574
Phone(217) 741-7832
Sole ProprietorYes
Enumeration DateMarch 15, 2019
✔ NPI 1689133068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
17586 KINCAID ST, Athens, IL 62613
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Embalabala's NPI number?

The NPI number for Mary Embalabala is 1689133068. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Where is Mary Embalabala located?

Mary Embalabala practices at 17586 Kincaid St, Athens, IL 62613. The listed phone number is (217) 741-7832.

What is Mary Embalabala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mary Embalabala was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.