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NPI Code Detail

MEDICARE: ORLI MAYA

MEDICARE:   ORLI  MAYA
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
1225XM0800XMental Health Occupational Therapist056.015748IL

General Provider Information

NPI Number : 1477195535
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORLI MAYA
Provider Business Mailing Address
First Line : 1148 W MONTANA ST APT 102
Second Line :
City : CHICAGO
State : IL
Zip : 60614-6895
Country : US
Telephone Number : 954-817-2397
Fax Number :
Provider Business Practice Location Address
First Line : 1148 W MONTANA ST APT 102
Second Line :
City : CHICAGO
State : IL
Zip : 60614-6895
Country : US
Telephone Number : 954-817-2397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2019
Last Update Date : 09/12/2025

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Directions to “ ORLI MAYA ” Practice Location

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