Healthcare Provider Details

I. General information

NPI: 1376153437
Provider Name (Legal Business Name): BAAL PERAZIM WELLNESS AND HEALTH SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 N SHEFFIELD AVE STE 500
CHICAGO IL
60657-5084
US

IV. Provider business mailing address

2835 N SHEFFIELD AVE STE 500
CHICAGO IL
60657-5084
US

V. Phone/Fax

Practice location:
  • Phone: 773-296-2400
  • Fax: 773-296-1097
Mailing address:
  • Phone: 773-296-2400
  • Fax: 773-296-1097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAURICE BROWNLEE
Title or Position: EXECUTIVE DIRECTOR
Credential: APRN-FPA
Phone: 404-548-1212