Healthcare Provider Details

I. General information

NPI: 1760018733
Provider Name (Legal Business Name): MARIA SIENA H MAY PMHNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1747 W ROOSEVELT RD STE 160
CHICAGO IL
60608-1264
US

IV. Provider business mailing address

5349 W WAVELAND AVE
CHICAGO IL
60641-3354
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-7723
  • Fax: 312-413-7757
Mailing address:
  • Phone: 773-406-8290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277003602
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277003602
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: