MEDICARE: MS. FAYE MAXWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-24-74045	IL

General Provider Information

NPI Number	:	1881421899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FAYE MAXWELL

Provider Business Mailing Address
First Line	:	5121 N KENMORE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-3137
Country	:	US
Telephone Number	:	504-676-1382
Fax Number	:

Provider Business Practice Location Address
First Line	:	1422 W WILLOW ST STE 102
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-8977
Country	:	US
Telephone Number	:	773-362-2088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	09/16/2024

Similar Medicare Providers

1417470576 — MEGAN NICOLE MORIEN BCBA
Practice Location Address:

1422 W WILLOW ST STE 203
CHICAGO, IL
60642-8977

Practice Phone: 773-630-4400
Practice Fax: 312-278-0072

1467978379 — MADIE SZALLER
Practice Location Address:

1422 W WILLOW ST STE 102
CHICAGO, IL
60642-8977

Practice Phone: 773-630-4400
Practice Fax:

1881184752 — AMANDA LANGONE BCBA
Practice Location Address:

1422 W WILLOW ST STE 102
CHICAGO, IL
60642-8977

Practice Phone: 773-630-4400
Practice Fax:

1457812141 — KAITLIN LOUISA MCNEILL M.ADS, BCBA
Practice Location Address:

1422 W WILLOW ST STE 101
CHICAGO, IL
60642-8977

Practice Phone: 312-399-0370
Practice Fax:

1609408434 — BROOKE ALEXIS BINNER
Practice Location Address:

1422 W WILLOW ST STE 101
CHICAGO, IL
60642-8977

Practice Phone: 312-399-0370
Practice Fax:

1902424369 — CASSANDRA HALBERT
Practice Location Address:

1422 W WILLOW ST STE 102
CHICAGO, IL
60642-8977

Practice Phone: 773-630-4400
Practice Fax:

1336753383 — JACLYN KRISTENE JOHNSON CCC-SLP
Practice Location Address:

1422 W WILLOW ST STE 101
CHICAGO, IL
60642-8977

Practice Phone: 773-672-7775
Practice Fax:

Directions to “ MS. FAYE MAXWELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.