Organization
BAAL PERAZIM WELLNESS, INC
Active
Parent organization
BAAL PERAZIM WELLNESS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAAL PERAZIM WELLNESS, INC
Authorized official
DR. MAURICE BROWNLEE APRN-FPA (EXECUTIVE DIRECTOR)
(773) 451-9444
Entity
Organization
Contact information
Practice address
3416 S HALSTED ST, CHICAGO, IL 60608-6708
(773) 940-0572
Mailing address
770 N HALSTED ST STE 100, CHICAGO, IL 60642-7889
(773) 451-9444
(833) 970-1077
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253231187001
—
IL
Enumeration date
04/18/2020
Last updated
04/21/2026
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