Provider Demographics
NPI:1386233294
Name:ZRAIK, MAYYADAH
Entity Type:Individual
Prefix:DR
First Name:MAYYADAH
Middle Name:
Last Name:ZRAIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 PARKSIDE AVE APT 1NW
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-8529
Mailing Address - Country:US
Mailing Address - Phone:708-704-7791
Mailing Address - Fax:
Practice Address - Street 1:8811 W 87TH ST
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-1001
Practice Address - Country:US
Practice Address - Phone:708-430-6780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional