MEDICARE: AMETHYST MAXEY FNP-C

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	363LF0000X	Family Nurse Practitioner	277002095	IL

General Provider Information

NPI Number	:	1497395594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMETHYST MAXEY FNP-C

Provider Business Mailing Address
First Line	:	8770 W BRYN MAWR AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3515
Country	:	US
Telephone Number	:	773-412-3212
Fax Number	:

Provider Business Practice Location Address
First Line	:	8770 W BRYN MAWR AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3515
Country	:	US
Telephone Number	:	773-412-3212
Fax Number	:

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

Provider Enumeration Date	:	01/07/2020
Last Update Date	:	04/30/2025

Similar Medicare Providers

1750350187 — DR. ANGELA S LEW HSPP
Practice Location Address:

8770 W BRYN MAWR AVE , SUITE 1300
CHICAGO, IL
60631-3515

Practice Phone: 877-807-5120
Practice Fax: 708-460-4120

1669430690 — MDS-MOBILE DIAGNOSTIC SERVICES, INC
Practice Location Address:

8770 W BRYN MAWR AVE
CHICAGO, IL
60631-3515

Practice Phone: 773-253-4963
Practice Fax:

1245484286 — SOLOMON PESIS DDS, DENTAL OUTREACH P.C.
Practice Location Address:

8770 W BRYN MAWR AVE , SUITE 1300
CHICAGO, IL
60631-3515

Practice Phone: 888-833-8441
Practice Fax: 888-330-4331

1437476231 — RJ CENTRAL INC
Practice Location Address:

8770 W BRYN MAWR AVE , SUITE 1300
CHICAGO, IL
60631-3515

Practice Phone: 773-444-0708
Practice Fax:

1104329630 — EMILY KEE MS RDN CD
Practice Location Address:

8770 W BRYN MAWR AVE STE 1330
CHICAGO, IL
60631-3515

Practice Phone: 800-761-9200
Practice Fax:

1972449817 — BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Practice Location Address:

2242 W HARRISON , SUITE 103
CHICAGO, IL
60612-3515

Practice Phone: 312-413-4900
Practice Fax:

Directions to “ AMETHYST MAXEY FNP-C” 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.