Provider Demographics
NPI:1184094773
Name:MANKOWSKA, ANNA MARIA (MA)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARIA
Last Name:MANKOWSKA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-2321
Mailing Address - Country:US
Mailing Address - Phone:224-501-5964
Mailing Address - Fax:847-984-5805
Practice Address - Street 1:100 S ATKINSON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7817
Practice Address - Country:US
Practice Address - Phone:224-501-5964
Practice Address - Fax:847-984-5805
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor