Active NPI
Maxima Health and Wellness LLC
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1427767235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MAXIMA HEALTH AND WELLNESS LLC
- Practice address
- 47 W Polk St Apt 106
Chicago, IL 60605-2000 - Phone
- (312) 866-4588
- Fax
- (312) 248-7693
- NPI assigned
- Nov 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosalind Seals, NP
- Title
- Owner
- Phone
- (312) 868-4588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
47 W Polk St Apt 106
Chicago, IL 60605-2000
Mailing address
47 W Polk St Apt 106
Chicago, IL 60605-2000
Phone (312) 866-4588
Other names 1
- Maxima Health and Wellness LLC.
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rseals@maximahealthwellness.com | Direct |
National Provider Directory
National Provider DirectoryLocations
47 W Polk St
Apt 106
Chicago, IL 60605
Phone (312) 866-4588
Interoperability endpoints
- rseals@maximahealthwellness.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1427767235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 W POLK ST APT 106",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052000",
"telephone_number": "312-866-4588",
"fax_number": "312-248-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 W POLK ST APT 106",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052000",
"telephone_number": "312-866-4588",
"fax_number": "312-248-7693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIMA HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "SEALS",
"authorized_official_first_name": "ROSALIND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-868-4588",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rseals@maximahealthwellness.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "47 W Polk St Apt 106",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606052000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Maxima Health and Wellness LLC.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.