Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maya Siegel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427414119

Maya Siegel is a Family Practice in Berwyn, Illinois. Graduated from Johns Hopkins University School of Medicine in 2019, 7 years ago. Practices with Pcc Community Wellness Center, a 89-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Johns Hopkins University School of Medicine
Licensed in
IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

6201 Roosevelt Rd
Berwyn, IL 60402-1108
Phone: (708) 386-0845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 North Wolfe Street, Baltimore, MD 21297-2109 — (410) 955-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.159936 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427414119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2016
Last updated in NPPESJuly 18, 2022
Certification dateJuly 14, 2022
Mailing address6201 Roosevelt Rd, Berwyn, IL 60402-1108

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Pcc Community Wellness Center — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Berwyn