SearchIllinois1041C0700X

Maia Brake, LCSW

NPI 1124523154 · on the registry since 2018

Practice

Address
1280 W Washington Blvd
Chicago, IL 60607
Phone
(248) 210-9309
Organisation at this address
Leep Beyond Nfp
Michaja Prendergast Johnson, O.T.,P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-30

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