Active NPI
Wellmax Medical Center Inc
- Primary Care Clinic/Center
- Chicago, IL
National Provider Identifier
1730254616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- WELLMAX MEDICAL CENTER INC
- Practice address
- 5736 W North Ave
Chicago, IL 60639-4152 - Phone
- (773) 385-9850
- Fax
- (773) 637-9774
- NPI assigned
- Nov 23, 2006
- 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
- Reginald Nnamdi Okagbue, MD
- Title
- Medical Director
- Phone
- (773) 385-9850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | IL | Primary |
Addresses
Primary practice location
5736 W North Ave
Chicago, IL 60639-4152
Mailing address
5736 W North Ave
Chicago, IL 60639-4152
Phone (773) 385-9850
National Provider Directory
National Provider DirectoryLocations
5736 W North Ave
Chicago, IL 60639
Phone (773) 385-9850
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1457129272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730254616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5736 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606394152",
"telephone_number": "773-385-9850",
"fax_number": "773-637-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5736 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606394152",
"telephone_number": "773-385-9850",
"fax_number": "773-637-9774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLMAX MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OKAGBUE",
"authorized_official_first_name": "REGINALD",
"authorized_official_middle_name": "NNAMDI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "773-385-9850",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Wellington Psychological Services, PC
- Wellington Radiology Group, S.C.
- Wellman Psychology & Associates S.C.
- James Wellman
- Amanda Beatriz Wellmann, MD
- Wellness Bound Chiropractic and Acupuncture Center Inc.
- Wellness by Physiatry, PLLC
- Wellness Center for Counseling and Guidance
- Wellness Chicago (Dearinger Chiropractic)
- Wellness Collective Chicago, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.