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Maya Brown

Specialist/Technologist, Athletic Trainer in Chicago, IL. Individual provider (NPI-1).

NPI number1407310550
StatusActive
Last updated in NPPESJan 23, 2019

Details

NPI
1407310550
Entity type
Individual (NPI-1)
Name
Maya Brown
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2019
Last updated
Jan 23, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1404 W 119th St # 3
Chicago, IL 60643-5008

Phone 708-530-1434

Mailing address

1404 W 119th St # 3
Chicago, IL 60643-5008

Phone 708-530-1434

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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