Provider Demographics
NPI:1790953388
Name:MAXWELL, SARZ (MD)
Entity Type:Individual
Prefix:DR
First Name:SARZ
Middle Name:
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1020 W ARDMORE AVE
Mailing Address - Street 2:#2M
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3700
Mailing Address - Country:US
Mailing Address - Phone:773-569-8997
Mailing Address - Fax:773-561-2499
Practice Address - Street 1:1020 W ARDMORE AVE
Practice Address - Street 2:#104
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-3700
Practice Address - Country:US
Practice Address - Phone:773-569-8997
Practice Address - Fax:773-561-2499
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry