MAYA FAMILY MEDICAL CENTER (NPI# 1043424450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043424450 |
| Entity Type | Organization |
| Organization Name | MAYA FAMILY MEDICAL CENTER |
| Practice Address |
4527 N Pulaski Rd Chicago IL 60630 |
| Practice Telephone | 7732676617 |
| Practice Fax Number | 7732670460 |
| Mailing Telephone | 7732676617 |
| Mailing Fax Number | 7732670460 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHANDRA MOHINI KHURANA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7732676617 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
IL | Allopathic & Osteopathic Physicians | |
| X | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4527 N PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558649368 | Pearl Dental LLC | Clinic/Center | 4527 N Pulaski Rd, Chicago, IL 60630-4415 | 2011-07-27 |
| 1699062059 | Kannout and Arnous Partnership | Clinic/Center | 4527 N Pulaski Rd, Chicago, IL 60630-4415 | 2011-07-06 |
| 1003140500 | Pediatric General Care & Research | General Practice | 4527 N Pulaski Rd, Chicago, IL 60630-4415 | 2009-09-30 |
| 1851566251 | Maya Family Medical Centre Inc | Family Medicine | 4527 N Pulaski Rd, Chicago, IL 60630-4415 | 2008-04-25 |
| 1285803791 | Perfect Managed Care LLC | Contractor | 4527 N Pulaski Rd, Chicago, IL 60630-4415 | 2008-02-28 |
| 1255432308 | Chandra Mohini Khurana | Internal Medicine | 4527 N Pulaski Rd, Chicago, IL 60630-4415 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679729792 | Uzma Naveen Hasan | Pediatrics | 2300 Childrens Plaza Box # 20, Division of Infectious Diseases, Chicago, IL 60614 | 2008-08-08 |
| 1245498344 | Mehreen Arshad | Pediatrics | Ann & Robert H Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Chicago, IL 60611-2991 | 2008-05-27 |
| 1407815277 | Tina Quanbee Tan | Pediatrics | 225 East Chicago Ave Box #20, Chicago, IL 60611-2605 | 2006-03-21 |
| 1346217726 | Anne H Rowley | Pediatrics | 225 E Chicago Ave # 20, Chicago, IL 60611-2991 | 2006-03-03 |
| 1902899438 | Daniel C Johnson | Pediatrics | 5841 S Maryland Ave # 6082, Chicago, IL 60637-1447 | 2005-08-30 |
| 1831542729 | Maninder Kaur | Pediatrics | 5841 S Maryland Ave # Mc6054, Chicago, IL 60637-1443 | 2016-07-15 |
| 1558736405 | Muayad Alali | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2015-12-03 |
| 1144491085 | Allison Humes Bartlett | Pediatrics | 800 E 55th St, Chicago, IL 60615 | 2008-03-19 |
| 1750409710 | Sameer Patel | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2007-03-27 |
| 1790896041 | William Joseph Muller | Pediatrics | 225 E Chicago Ave, Box 20, Chicago, IL 60611-2991 | 2006-08-31 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.