| Maxima Health And Wellness Llc | |
|
47 W Polk St Apt 106 Chicago IL 60605-2000 | |
| (312) 866-4588 | |
| (312) 248-7693 |
| Full Name | Maxima Health And Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 47 W Polk St Apt 106, Chicago, Illinois |
| Authorized Official Name and Position | Rosalind Seals (OWNER) |
| Authorized Official Contact | 3128684588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxima Health And Wellness Llc 47 W Polk St Apt 106 Chicago IL 60605-2000 Ph: (312) 866-4588 | Maxima Health And Wellness Llc 47 W Polk St Apt 106 Chicago IL 60605-2000 Ph: (312) 866-4588 |
| NPI Number | 1427767235 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 11/21/2022 |
| Medicare PECOS PAC ID | 9133598261 |
|---|---|
| Medicare Enrollment ID | O20221213001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427767235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rosalind V Seals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164880498 PECOS PAC ID: 5698072346 Enrollment ID: I20160324001010 |
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