Active NPIIndividual providerSole proprietor

Max T Ackerman, BS

Anesthesiology in Chicago, Illinois

NPI Number1083362644
Practice location
5841 S Maryland Ave # Mc4028, Chicago, IL 60637-1443
Fax
—
Last updated
May 22, 2023

Max T Ackerman, BS is a Anesthesiology based in Chicago, IL. Max T Ackerman, BS holds the professional credentials of BS. The NPI number for Max T Ackerman, BS is 1083362644 and holds license No. 125.081839 (IL). The current practice location address is 5841 S Maryland Ave # Mc4028, Chicago, IL 60637-1443 and the office can be reached by phone at 773-702-6842. The NPI was assigned on March 14, 2022 and the record was last updated in NPPES on May 22, 2023.

●Provider Profile Details

NPI Number
1083362644
Provider Name
Max Tucker Ackerman
Credential
BS
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
Yes
Enumeration Date
March 14, 2022
Last Update Date
May 22, 2023
Certification Date
May 22, 2023
NPI Status
Active

◉Business Practice Location Address

Address
5841 S Maryland Ave # Mc4028
Chicago, IL 60637-1443
ZIP
60637-1443
Country
US
Phone Number
773-702-6842

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✉Business Mailing Address

Address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
City
Burr Ridge
State
IL
ZIP
60527-6686
Phone Number
773-702-1150

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Anesthesiology207L00000XYes125.081839IL

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Max T Ackerman, BS?

The NPI number of Max T Ackerman, BS is 1083362644. It was assigned on March 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Max T Ackerman, BS?

Max T Ackerman, BS is registered under the primary taxonomy Anesthesiology (code 207L00000X) and holds license No. 125.081839 (IL).

Where does Max T Ackerman, BS practice?

The practice location is 5841 S Maryland Ave # Mc4028, Chicago, IL 60637-1443. The office can be reached at 773-702-6842 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083362644 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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