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Maya Longe

NPI 1518750355 · on the registry since 2025

Practice

Address
536 W Belmont Ave Apt 1w
Chicago, IL 60657
Phone
(248) 565-7715

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-24

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