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Deactivated NPI 1497520399 Deactivated / Inactive NPI Female Practitioner

Drew Polaczek

Behavior Analyst • Lombard, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Drew Polaczek has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 20, 2023
NPI Deactivation Date September 10, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Drew Polaczek was a registered Behavior Analyst practicing in Lombard, IL. Throughout an active medical career spanning 1 years, Drew Polaczek provided care at the practice location at 44 W ROOSEVELT RD until profile deactivation on 2024-09-10.

Practice Location & Contact Primary Location

Practice Address

44 W Roosevelt Rd

Lombard, IL 601484402

Telephone 8555288476
Associated Practice Facility / Clinic
🏢 Autism Behavior Therapy Facility NPI 1851083570

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lombard, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
35 Specialists

Practicing in Lombard, IL (3105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IL 1-24-75575

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mera Shafie

Behavior Technician

NPI 1003786252
Abigail Branecki

Behavior Technician

NPI 1013890888
Hannah O'donoghue

Behavior Technician

NPI 1023834801
Itzi Espinoza

Behavior Technician

NPI 1063303626
Ayman Fatani

Behavior Technician

NPI 1063396406
Stephen Conte

Behavior Technician

NPI 1083420319

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location October 09, 2024

Registered at 44 W ROOSEVELT RD, LOMBARD, IL 601484402 (Tel: 8555288476)

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Updated Business Mailing Address October 09, 2024

Registered at 1616 GROVE COURT, LOCKPORT, IL 604414799 (Tel: 7798751357)

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2024

Behavior Analyst (License #1-24-75575 in IL)

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NPI Profile Reactivated October 02, 2024

Record officially reactivated for active practice on October 02, 2024

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NPI Profile Deactivated September 10, 2024

Record deactivated on September 10, 2024

NPI Profile Active November 20, 2023

NPI status registered as active in NPPES database

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Updated Practice Location November 20, 2023

Registered at 16131 WEBER RD, CREST HILL, IL 604038742 (Tel: 6302905800)

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Updated Business Mailing Address November 20, 2023

Registered at 1616 GROVE CT, LOCKPORT, IL 604414799 (Tel: 7798751357)

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Provider Name / Credentials Updated November 20, 2023

Recorded as DREW POLACZEK

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2023

Behavior Technician

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Initial NPI Registration & Enumeration November 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497520399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2023
Last Update: October 17, 2024
Deactivation Date: September 10, 2024
Sole Proprietor: No

Mailing Address

1616 Grove Court

Lockport, IL 604414799

Phone: 7798751357

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.