| Wellmax Medical Center Inc | |
|
5736 W North Ave Chicago IL 60639-4152 | |
| (773) 385-9850 | |
| (773) 637-9774 |
| Full Name | Wellmax Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5736 W North Ave, Chicago, Illinois |
| Authorized Official Name and Position | Reginald Nnamdi Okagbue (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7733859850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellmax Medical Center Inc 5736 W North Ave Chicago IL 60639-4152 Ph: (773) 385-9850 | Wellmax Medical Center Inc 5736 W North Ave Chicago IL 60639-4152 Ph: (773) 385-9850 |
| NPI Number | 1730254616 |
|---|---|
| Provider Enumeration Date | 11/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527254291 |
|---|---|
| Medicare Enrollment ID | O20101119000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730254616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |
| Provider Name | Reginald Nnamdi Okagbue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235309352 PECOS PAC ID: 0244426914 Enrollment ID: I20101119000572 |
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