Organization Active NPI

Maximum Medical, Inc

  • Non-emergency Medical Transport (VAN)
  • Mundelein, IL
National Provider Identifier
1518285790
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
12204PT Issued in IL
Legal business name
MAXIMUM MEDICAL, INC
Practice address
1200 Huntington Dr
Mundelein, IL 60060-3206
Phone
(847) 307-1888
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Mr. Alexandr Chernyavskiy
Title
Owner
Phone
(847) 307-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 12204PT IL Primary

Addresses

Primary practice location

1200 Huntington Dr
Mundelein, IL 60060-3206

Mailing address

1200 Huntington Dr
Mundelein, IL 60060-3206
Phone (847) 307-1888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1518285790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HUNTINGTON DR",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603206",
            "telephone_number": "847-307-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HUNTINGTON DR",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603206",
            "telephone_number": "847-307-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "CHERNYAVSKIY",
        "authorized_official_first_name": "ALEXANDR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-307-1888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "12204PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.