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NPI Code Detail

MEDICARE: MAYA RAMIC M.D. ,PH.D.

MEDICARE: MAYA RAMIC M.D. ,PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician036.129510IL

General Provider Information

NPI Number : 1174779482
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA RAMIC M.D. ,PH.D.
Provider Business Mailing Address
First Line : 8745 W HIGGINS RD STE 110
Second Line :
City : CHICAGO
State : IL
Zip : 60631-2753
Country : US
Telephone Number : 312-646-0631
Fax Number :
Provider Business Practice Location Address
First Line : 8745 W HIGGINS RD STE 110
Second Line :
City : CHICAGO
State : IL
Zip : 60631-2753
Country : US
Telephone Number : 312-646-0631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2008
Last Update Date : 03/12/2020

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