Organization
MAYA MEDICAL CENTERS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HANAN YOUSIF (PRACTICE MANAGER)
(708) 200-6615
Entity
Organization
Contact information
Practice address
3830 W 95TH ST, EVERGREEN PARK, IL 60805-2004
(708) 422-1363
(708) 422-1256
Mailing address
8790 W 103RD ST, PALOS HILLS, IL 60465-1603
(708) 200-6615
(708) 422-1256
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110790
—
IL
Enumeration date
06/06/2008
Last updated
02/12/2015
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