Individual
KARMEN D MAYTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9831 S WESTERN AVE, CHICAGO, IL 60643-1740
(773) 445-3500
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-015644
IL
363LF0000X
Family Nurse Practitioner
209.015644
IL
Other
Enumeration date
06/12/2017
Last updated
09/02/2025
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