Search › Illinois › 207Q00000X
Maya Siegel
NPI 1427414119 · on the registry since 2016
Practice
- Address
- 6201 Roosevelt Rd
Berwyn, IL 60402 - Phone
- (708) 386-0845
- Organisation at this address
- Pcc Community Wellness Center
Pcc Community Wellness CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 40
Additional practice sites
- 600 North Wolfe Street, Baltimore, MD
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois