MAYA MEDICAL CENTERS SC – NPI #1093974800
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MAYA MEDICAL CENTERS SC is a provider located in EVERGREEN PARK, IL. NPPES has assigned the NPI number 1093974800 to MAYA MEDICAL CENTERS SC on June 06, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 11 years ago on Feb 12, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAYA MEDICAL CENTERS SC below.

NPI Profile for
MAYA MEDICAL CENTERS SC

NPI Number
1093974800
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAYA MEDICAL CENTERS SC
Primary location
3830 W 95TH ST
EVERGREEN PARK, IL 60805-2004
Phone: (708) 422-1363 Fax: (708) 422-1256
Mailing address
8790 W 103RD ST
PALOS HILLS, IL 60465-1603
Phone: (708) 200-6615 Fax: (708) 422-1256
Organization Subpart
No
Authorized Official
HANAN YOUSIF
PRACTICE MANAGER
Phone: (708) 200-6615
Updated
Identifiers

Identifiers for MAYA MEDICAL CENTERS SC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036110790
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
207RB0002X
- Internal Medicine / Obesity Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.