Individual
CONNIE MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2955 W 95TH ST, EVERGREEN PARK, IL 60805-2409
(331) 814-2186
Mailing address
10618 S TALMAN AVE, CHICAGO, IL 60655-1705
(708) 837-1715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016800
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209016800
IL
Other
Enumeration date
02/22/2018
Last updated
01/15/2025
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