| The Maye Center Llc | |
|
137 N Oak Park Ave Suite 408-1 Oak Park IL 60301-1344 | |
| (708) 209-8560 | |
| Not Available |
| Full Name | The Maye Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 137 N Oak Park Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Mary Ellen Withers (OWNER PSYCHOTHERAPIST) |
| Authorized Official Contact | 7082098560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Maye Center Llc 137 N Oak Park Ave Suite 408-1 Oak Park IL 60301-1344 Ph: (708) 209-8560 | The Maye Center Llc 137 N Oak Park Ave Suite 408-1 Oak Park IL 60301-1344 Ph: (708) 209-8560 |
| NPI Number | 1184054769 |
|---|---|
| Provider Enumeration Date | 11/19/2013 |
| Last Update Date | 11/19/2013 |
| Medicare PECOS PAC ID | 3375834690 |
|---|---|
| Medicare Enrollment ID | O20160616001743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184054769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 248000855 149006998 (Illinois) | Primary |
| Provider Name | Mary Ellen Withers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194040329 PECOS PAC ID: 6204967904 Enrollment ID: I20160616001857 |
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