Provider Demographics
NPI:1114114899
Name:MAYA SERVICES PC
Entity Type:Organization
Organization Name:MAYA SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANAGHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWOOLKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-340-6843
Mailing Address - Street 1:5413 MAYFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-3861
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5413 MAYFLOWER CT
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-3861
Practice Address - Country:US
Practice Address - Phone:847-340-6843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health