Maxwell Sean Lister, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013744 Issued in IL

Practice address

16 N Peoria St
Chicago, IL 60607-2609

Phone

(217) 741-5322

NPI assigned

Jul 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woosley Chiropractic RehabilitationGroup PAC ID 1456522150, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woosley Chiropractic Rehabilitation

  • Chiropractor
  • Goodlettsville, TN
  • NPI 1043248685
  Medicare reassignment Care Compare group NPD
• Nashville Chiropractic & Sports Performance LLC

  • Chiropractor
  • Goodlettsville, TN
  • NPI 1730957028
  NPD Authorized official

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1720751944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W WOLF POINT PLZ UNIT 1911",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606540189",
            "telephone_number": "217-741-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N PEORIA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072609",
            "telephone_number": "217-741-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "MAXWELL",
        "middle_name": "SEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin List, MD
• Listen Look & Play LLC
• Molly Listenberger
• Listening Lounge and Wellness Center PLLC
• Listening Lounge and Wellness Center PLLC
• Robert Howard Listernick, MD
• Zoe Listernick
• Caitlin Joshua Listro, PH.D.
• Lisy Counseling PLLC
• John Lisy, LCSW

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.