MAYA MEDICAL CENTERS SC
NPI 1093974800
General Practice in Evergreen Park, IL

Active since June 06, 2008CLIA 14D2107761 · Waiver
3830 W 95TH ST, EVERGREEN PARK, IL 60805(708) 422-1363(708) 422-1256 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maya Medical Centers Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYA MEDICAL CENTERS SC (NPI 1093974800) is a healthcare organization registered as a general practice in Evergreen Park, Illinois and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Hanan Yousif, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093974800
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMAYA MEDICAL CENTERS SC
Location Address3830 W 95TH STEvergreen Park, IL 60805-2004
Mailing Address8790 W 103rd StPalos Hills, IL 60465-1603 · (708) 200-6615 · Fax (708) 422-1256
Fax(708) 422-1256
Organization SubpartNo
Authorized OfficialHanan YousifPractice Manager · (708) 200-6615
Enumeration DateJune 6, 2008
Last NPPES UpdateFebruary 12, 2015
NPI 1093974800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X
3830 W 95TH ST, Evergreen Park, IL 60805

Other Identifiers 1

Medicaid036110790IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2107761

Maya Medical Centers Sc · Evergreen Park, IL
Active · expires Jan 20, 2028
CLIA Number14D2107761
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorHamdi M. Khilfeh MD
Laboratory Phone(708) 422-1363
Laboratory LocationMaya Medical Centers Sc2955 West 95th St, Evergreen Park, IL 60805
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
3830 W 95TH ST, SUITE 110
EVERGREEN PARK, IL 60805
Podiatrist
3830 W 95TH ST
EVERGREEN PARK, IL 60805
Internal Medicine
3830 W 95TH ST, SUITE 108
EVERGREEN PARK, IL 60805
Chiropractor
3830 W 95TH ST, SUITE 107
EVERGREEN PARK, IL 60805
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3830 W 95TH ST
EVERGREEN PARK, IL 60805
Non-Pharmacy Dispensing Site
3830 W 95TH ST, SUITE 104
EVERGREEN PARK, IL 60805
Psychologist (Clinical)
3830 W 95TH ST, SUITE 110
EVERGREEN PARK, IL 60805
Psychologist (Clinical)
3830 W 95TH ST, SUITE 110
EVERGREEN PARK, IL 60805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maya Medical Centers Sc's NPI number?

The NPI number for Maya Medical Centers Sc is 1093974800. It was assigned to this organization in the NPPES registry on June 6, 2008.

Where is Maya Medical Centers Sc located?

Maya Medical Centers Sc is located at 3830 W 95th St, Evergreen Park, IL 60805. The listed phone number is (708) 422-1363.

What is Maya Medical Centers Sc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Maya Medical Centers Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2107761) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maya Medical Centers Sc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Maya Medical Centers Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maya Medical Centers Sc was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.