Maya Mary Samuel
Maya Mary Samuel is a Student in an Organized Health Care Education/Training Program in Evanston, Illinois. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2650 Ridge Ave Ste 1304Evanston, IL 60201-1700
Phone: (847) 570-1010
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1710785886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2025 |
| Last updated in NPPES | April 2, 2026 |
| Certification date | April 2, 2026 |
| Mailing address | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 |
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