Provider Demographics
NPI:1457000366
Name:CHEHAB, MAYA LEMIRA
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:LEMIRA
Last Name:CHEHAB
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 1:53 W JACKSON BLVD STE 1632
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3734
Mailing Address - Country:US
Mailing Address - Phone:312-725-3872
Mailing Address - Fax:
Practice Address - Street 1:53 W JACKSON BLVD STE 1632
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3734
Practice Address - Country:US
Practice Address - Phone:312-725-3872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-20
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health