Organization Active NPI

Wellmax Medical Center Inc

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1730254616
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.