Mavena Derma Centers, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MAVENA DERMA CENTERS, INC.

Practice address

1100 W Central Rd
306
Arlington Heights, IL 60005-2402

Phone

(847) 483-9621

Fax

(847) 483-9625

NPI assigned

Jul 26, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerri McGinnis

Title

Vice President

Phone

(847) 483-9621

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan C O'Neill, NP

  • Family Nurse Practitioner
  • Naperville, IL
  • NPI 1659385722
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1396768727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N. MICHIGAN AVENUE",
            "address_2": "300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113777",
            "telephone_number": "847-298-9400",
            "fax_number": "847-298-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W CENTRAL RD",
            "address_2": "306",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052402",
            "telephone_number": "847-483-9621",
            "fax_number": "847-483-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVENA DERMA CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "JERRI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-483-9621"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Matthews, MD
• Heather Mau
• Maung Maung, SA-C
• Janet T Maurer, MD
• Jeanine Maurice, M.D.
• Mary Beth Mayer
• Susan J Mayfield, PHD
• Sydney Mayhew
• Rita Maywright, OTR/L
• Maz Trans LLC

• Specialist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.