Maya Medical Centers SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MAYA MEDICAL CENTERS SC

Practice address

3830 W 95TH St
Evergreen Park, IL 60805-2004

Phone

(708) 422-1363

Fax

(708) 422-1256

NPI assigned

Jun 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Hanan Yousif

Title

Practice Manager

Phone

(708) 200-6615

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamdi Mansour Khilfeh, M.D.

  • Internal Medicine Physician
  • Evergreen Park, IL
  • NPI 1558477661
  Medicare reassignment Care Compare group NPD
• Izel Martinez, FNP-BC

  • Nurse Practitioner
  • Evergreen Park, IL
  • NPI 1932912490
  Medicare reassignment Care Compare group NPD
• Ruta Savickiene, NP-C

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1902181407
  Medicare reassignment Care Compare group NPD
• Susan T Politano, FNP

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1285724344
  Medicare reassignment NPD
• Asem Hasan Werdi, M.D.

  • Hospitalist Physician
  • Oak Lawn, IL
  • NPI 1588953038
  Medicare reassignment NPD
• Hasan Suleiman, MD

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1023376266

  IL

  Medicare reassignment NPD
• Waleed Salah Samara, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Romeoville, IL
  • NPI 1710845029
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1093974800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 W 103RD ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651603",
            "telephone_number": "708-200-6615",
            "fax_number": "708-422-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "708-422-1363",
            "fax_number": "708-422-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA MEDICAL CENTERS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "YOUSIF",
        "authorized_official_first_name": "HANAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "708-200-6615",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110790",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hiba Masoud, PHARM D
• Joann Marie Mattaliano, PTA
• Maximum Home Health Care, Inc.
• Maximum Hospice & Palliative Care, Inc.
• Maximum Rehabilitation Services, LTD.
• Zachary Mayer, PT, DPT
• Victoria Louise McAndrew, LPC
• MCC Healthcare Services
• MCC Healthcare Services, Inc.
• Lauren McDonnell, MOTR/L

• General Practice Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.