NPIMap

Organization Active NPI

Baal Perazim Wellness, Inc

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1215403530
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BAAL PERAZIM WELLNESS, INC
Practice address
3416 S Halsted St
Chicago, IL 60608-6708
Phone
(773) 296-2400
Fax
(773) 296-1097
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maurice Brownlee, APRNNPI 1083145262
Title
President
Phone
(773) 296-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3416 S Halsted St
Chicago, IL 60608-6708

Mailing address

2835 N Sheffield Ave Ste 500
Chicago, IL 60657-5084
Phone (773) 296-2400

Other practice location 1

1823 W
47th St
Chicago, IL 60609-3843
Phone (773) 296-2400

Other practice location 2

3916 N Broadway St
Chicago, IL 60613-6107
Phone (773) 296-2400

Other identifiers 1

IdentifierTypeStateIssuer
253231187001MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607000040 IL Part B Supplier - Clinic/Group Practice 7618218587 Receives reassigned benefits from 40 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

3416 S Halsted St
Ste 500
Chicago, IL 60608

1823 W 47th St
Chicago, IL 60609
Phone (312) 698-9043

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1215403530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575084",
            "telephone_number": "773-296-2400",
            "fax_number": "773-296-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086708",
            "telephone_number": "773-296-2400",
            "fax_number": "773-296-1097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1823 W",
            "address_2": "47th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606093843",
            "country_code": "US",
            "telephone_number": "773-296-2400",
            "fax_number": "773-296-1097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3916 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606136107",
            "country_code": "US",
            "telephone_number": "773-296-2400",
            "fax_number": "773-296-1097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAAL PERAZIM WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "BROWNLEE",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-296-2400",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253231187001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.