| Baal Perazim Wellness, Inc | |
|
3416 S Halsted St Chicago IL 60608-6708 | |
| (773) 296-2400 | |
| (773) 296-1097 |
| Full Name | Baal Perazim Wellness, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3416 S Halsted St, Chicago, Illinois |
| Authorized Official Name and Position | Maurice Brownlee (PRESIDENT) |
| Authorized Official Contact | 7732962400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baal Perazim Wellness, Inc 2835 N Sheffield Ave Ste 500 Chicago IL 60657-5084 Ph: (773) 296-2400 | Baal Perazim Wellness, Inc 3416 S Halsted St Chicago IL 60608-6708 Ph: (773) 296-2400 |
| NPI Number | 1215403530 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 05/13/2026 |
| Certification Date | 05/13/2026 |
| Medicare PECOS PAC ID | 7618218587 |
|---|---|
| Medicare Enrollment ID | O20190607000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215403530 | NPI | - | NPPES |
| 253231187001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Andra Munteanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912934456 PECOS PAC ID: 6507847993 Enrollment ID: I20040601000873 |
| Provider Name | Marlene Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942401294 PECOS PAC ID: 2668521576 Enrollment ID: I20090526000435 |
| Provider Name | Daniel S Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710076237 PECOS PAC ID: 7214971845 Enrollment ID: I20100615000348 |
| Provider Name | Keith a Hopkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083778765 PECOS PAC ID: 3577752781 Enrollment ID: I20120308000111 |
| Provider Name | Cheryl Mejta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861581365 PECOS PAC ID: 9638334139 Enrollment ID: I20120709000303 |
| Provider Name | Anthony P. Oltean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689962151 PECOS PAC ID: 0446492540 Enrollment ID: I20130819000653 |
| Provider Name | Katie M Sheridan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396919643 PECOS PAC ID: 8820161771 Enrollment ID: I20140312001994 |
| Provider Name | Imelda Homecgoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487010534 PECOS PAC ID: 9638461429 Enrollment ID: I20160715000158 |
| Provider Name | Maurice Brownlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083145262 PECOS PAC ID: 9537435862 Enrollment ID: I20171031003176 |
| Provider Name | April Guilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184285926 PECOS PAC ID: 8527395532 Enrollment ID: I20190814001994 |
| Provider Name | Emmanuel Barron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598398034 PECOS PAC ID: 8123455003 Enrollment ID: I20200305002731 |
| Provider Name | Joann Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255970141 PECOS PAC ID: 9638507270 Enrollment ID: I20200316000066 |
| Provider Name | Reginald Washington Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174124036 PECOS PAC ID: 1153735824 Enrollment ID: I20210121000906 |
| Provider Name | James R Belanger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851824908 PECOS PAC ID: 9931514171 Enrollment ID: I20210219001769 |
| Provider Name | Elora L Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477130599 PECOS PAC ID: 7911315338 Enrollment ID: I20210422002447 |
| Provider Name | Taylor a Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770103277 PECOS PAC ID: 0244630838 Enrollment ID: I20210618001564 |
| Provider Name | Brandi Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396320461 PECOS PAC ID: 1658760806 Enrollment ID: I20211210002304 |
| Provider Name | Frederick Antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215566435 PECOS PAC ID: 7416341979 Enrollment ID: I20220225001236 |
| Provider Name | Joseph Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336667955 PECOS PAC ID: 7012275191 Enrollment ID: I20230310000079 |
| Provider Name | Vincent Vargas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629234851 PECOS PAC ID: 5496925364 Enrollment ID: I20230315002618 |
| Provider Name | Stephanie Salamanca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083173066 PECOS PAC ID: 1951769306 Enrollment ID: I20230616002859 |
| Provider Name | Tony Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073394136 PECOS PAC ID: 5294181103 Enrollment ID: I20231030001820 |
| Provider Name | Michael G Bonifacio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275310146 PECOS PAC ID: 8426408998 Enrollment ID: I20231223000331 |
| Provider Name | Cathy Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740878925 PECOS PAC ID: 2163867508 Enrollment ID: I20240226002031 |
| Provider Name | Ralph Yaniz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427439645 PECOS PAC ID: 7810334877 Enrollment ID: I20240326002266 |
| Provider Name | Carlos R Sian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760143150 PECOS PAC ID: 6608312749 Enrollment ID: I20240724003734 |
| Provider Name | Lorin Dunston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821677550 PECOS PAC ID: 4688106768 Enrollment ID: I20241014003905 |
| Provider Name | Jarrett Cramer Stoll |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417436791 PECOS PAC ID: 8426582529 Enrollment ID: I20241112003742 |
| Provider Name | Alexis M Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699412155 PECOS PAC ID: 1355876939 Enrollment ID: I20241119002705 |
| Provider Name | Kahan Sablo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346061132 PECOS PAC ID: 9931639036 Enrollment ID: I20250204003703 |
| Provider Name | Kassidy Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740093798 PECOS PAC ID: 9830610930 Enrollment ID: I20250305002422 |
| Provider Name | Jordan Nicole Kennon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629845763 PECOS PAC ID: 9032634480 Enrollment ID: I20250417001860 |
| Provider Name | Michael Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245842814 PECOS PAC ID: 2860865805 Enrollment ID: I20250423000256 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245989474 PECOS PAC ID: 3375053127 Enrollment ID: I20250610003193 |
| Provider Name | Dawn Naomi Tipton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730839564 PECOS PAC ID: 1658804612 Enrollment ID: I20250916001248 |
| Provider Name | Sammir Faris Naser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336888668 PECOS PAC ID: 2163891839 Enrollment ID: I20250929002397 |
| Provider Name | Brian Peter Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487062352 PECOS PAC ID: 8820583248 Enrollment ID: I20251223000468 |
| Provider Name | Ramon Bonifacio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578430773 PECOS PAC ID: 7719473735 Enrollment ID: I20251230000544 |
| Provider Name | Nolan Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164302287 PECOS PAC ID: 6305315284 Enrollment ID: I20260520002228 |
| Provider Name | Shundra Yuvette Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255269494 PECOS PAC ID: 4587134721 Enrollment ID: I20260528002501 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 |
A Kavaliunas MD SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 |
Doc Cam Medical Center SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 |