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HEALING WOUNDS LTD NPI 1700287398


NPI Information

NPI: 1700287398
Provider Name: HEALING WOUNDS LTD

Doing Business As: MAYA FAMILY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2085895

Address:
3530 W 159TH ST
MARKHAM, IL
ZIP 60428
Phone: (708) 333-3318
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HEALING WOUNDS LTD is a family medicine in Markham, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEALING WOUNDS LTD NPI is 1700287398. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maya Family Clinic.

The provider's business location address is:

3530 W 159TH ST
MARKHAM, IL
ZIP 60428-047
Phone: (708) 333-3318
Fax: (708) 390-3739

The provider's authorized official is Chirag Patel .
The authorized official title is Owner Of Entity and has the following contact phone number (708) 333-3318.

The CLIA number assigned to this NPI record is 14D2085895 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/15/2014 and was last updated on 3/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036117215ILLINOISNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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