MAYA MEDICAL CENTERS SC (NPI# 1093974800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093974800 |
| Entity Type | Organization |
| Organization Name | MAYA MEDICAL CENTERS SC |
| Practice Address |
3830 W 95th St Evergreen Park IL 60805-2004 |
| Mailing Address |
8790 W 103rd St Palos Hills IL 60465-1603 |
| Practice Telephone | 7084221363 |
| Practice Fax Number | 7084221256 |
| Mailing Telephone | 7082006615 |
| Mailing Fax Number | 7084221256 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | MS. HANAN YOUSIF (PRACTICE MANAGER) |
| Authorized Official Telephone | 7082006615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036110790 | 05 |
| Street Address |
3830 W 95TH ST |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447218359 | Dr Bela Pandit PC | Podiatrist | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2006-05-02 |
| 1568915593 | Health Is Wealth Wellness Center Inc | Chiropractor | 3830 W 95th St, Suite 107, Evergreen Park, IL 60805-2004 | 2016-07-26 |
| 1598006546 | Endocrine Diabetes Clinic Ltd | Internal Medicine | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2013-03-14 |
| 1639424823 | Dr. Bela Pandit, PC | Non-Pharmacy Dispensing Site | 3830 W 95th St, Suite 104, Evergreen Park, IL 60805-2004 | 2012-07-13 |
| 1962638379 | Abc Home Health Services, Inc. | Home Health | 3830 W 95th St, Suite # 3, Evergreen Park, IL 60805-2004 | 2009-06-01 |
| 1437397023 | Jyothsna Palla | Internal Medicine | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2009-02-04 |
| 1770601064 | Mario M. Gallo & Linda R. Harper Ptr | Psychologist | 3830 W 95th St, Suite 110, Evergreen Park, IL 60805-2004 | 2007-03-26 |
| 1285781856 | Rochelle Johnson | Social Worker | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2007-01-04 |
| 1558387621 | Nusrat Musa | Internal Medicine | 3830 W 95th St, Suite 108, Evergreen Park, IL 60805-2004 | 2006-07-14 |
| 1891729992 | Mario M. Gallo | Psychologist | 3830 W 95th St, Suite 110, Evergreen Park, IL 60805-2004 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447449616 | Evergreen Care Center Ltd | General Practice | 9760 S Kedzie Ave, Suite 3, Evergreen Park, IL 60805-3109 | 2007-10-23 |
| 1891984068 | Park Primary Care Ltd | General Practice | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775192 | Discover Integrated Medical Center, Ltd. | General Practice | 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 | 2020-09-18 |
| 1154946903 | Wound Pros Illinois | General Practice | 5250 Old Orchard Rd., Suite 300, Skokie, IL 60077-4462 | 2020-06-08 |
| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
Please comment or provide details below to improve the information on MAYA MEDICAL CENTERS SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.