IndividualActive
Maximillion Macon
NPI 1912869074 · Peer Specialist · Franklin Park, IL
Provider details
- NPI number
- 1912869074
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
10001 Grand Ave Ste 1
Franklin Park, IL 60131-2564
Phone: (847) 451-0330
Approximate (ZIP-level) locationGet directions
Mailing address
16 S Central Ave
Chicago, IL 60644-4257
Registry dates
- Enumerated
- 2025-11-26
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.