Organization Active NPI

Maxima Health and Wellness LLC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1427767235
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Nov 21, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rseals@maximahealthwellness.com Direct

National Provider Directory

National Provider Directory

Locations

47 W Polk St
Apt 106
Chicago, IL 60605
Phone (312) 866-4588

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.