DR. SARZ MAXWELL (NPI# 1790953388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790953388 |
| Entity Type | Individual |
| Full Name | DR. SARZ MAXWELL |
| Credential | M.D. |
| Practice Address |
1020 W Ardmore Ave #104 Chicago IL 60660-3700 |
| Mailing Address |
1020 W Ardmore Ave #2m Chicago IL 60660-3700 |
| Practice Telephone | 7735698997 |
| Practice Fax Number | 7735612499 |
| Mailing Telephone | 7735698997 |
| Mailing Fax Number | 7735612499 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1020 W ARDMORE AVE #104 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013141803 | Ishani Harsh Dalal | Psychiatry & Neurology | 680 N Lake Shore Dr Ste 800, Chicago, IL 60611-8701 | 2009-05-07 |
| 1588872055 | Babatunde Gbolade Okuleye | Psychiatry & Neurology | 200 S Michigan Avenue, Suite 710, Chicago, IL 60604-2403 | 2007-05-18 |
| 1134243942 | Sheldon S. Greenberg, M.d., S.c. | Psychiatry & Neurology | 2835 North Sheffield Ave., Suite 200, Chicago, IL 60657-5083 | 2007-03-19 |
| 1851645964 | Pilsen Psychiatric Clinic & Associates, LLC | Psychiatry & Neurology | 1870 S Blue Island Ave, Chicago, IL 60608-3013 | 2012-10-29 |
| 1417225152 | Anish John | Psychiatry & Neurology | 680 N Lake Shore Dr Ste 800, Chicago, IL 60611-8701 | 2011-12-08 |
| 1356633192 | Sree Harsha Katragadda | Psychiatry & Neurology | 912 S Wood St, Chicago, IL 60612-4300 | 2011-05-12 |
| 1255586103 | Benjamin Stephan | Psychiatry & Neurology | 2525 S Michigan Ave, B-522, Chicago, IL 60616-2333 | 2008-11-19 |
| 1629190665 | Virgilio Arenas | Psychiatry & Neurology | 1901 W Harrison St, Chicago, IL 60612-3714 | 2007-04-03 |
| 1154407658 | Joe Nathaniel Sangster Sr. | Psychiatry & Neurology | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-10-27 |
| 1396752721 | Jeffrey David Roth | Psychiatry & Neurology | 25 E Washington St, Suite 1811, Chicago, IL 60602-1708 | 2006-08-01 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.