Organization
MAXWELL MEDICAL GROUP, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ROSENSON MD (PRESIDENT)
(847) 814-9955
Entity
Organization
Contact information
Practice address
1901 RAYMOND DR., SUITE 5, NORTHBROOK, IL 60062
(855) 629-8353
Mailing address
4336 WEST ENFIELD, SKOKIE, IL 60076
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
251E00000X
Home Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
10/19/2021
Last updated
01/28/2022
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