Individual
MAXIMILLION MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 GRAND AVE STE 1, FRANKLIN PARK, IL 60131-2564
(847) 451-0330
Mailing address
16 S CENTRAL AVE, CHICAGO, IL 60644-4257
(773) 799-4899
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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