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NPI Code Detail

MEDICARE: MAYA BEN-SHAHAR

MEDICARE: MAYA BEN-SHAHAR
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
1101YM0800XMental Health Counselor178.019046IL

General Provider Information

NPI Number : 1205642840
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA BEN-SHAHAR
Provider Business Mailing Address
First Line : 3232 S GREEN ST APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60608-6621
Country : US
Telephone Number : 734-277-7499
Fax Number :
Provider Business Practice Location Address
First Line : 1653 W 35TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60609-1309
Country : US
Telephone Number : 708-613-7862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2024
Last Update Date : 12/09/2024

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Directions to “ MAYA BEN-SHAHAR ” Practice Location

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