Individual provider · NPI-1

Max Tucker Ackerman, BS

Anesthesiology · Chicago, IL

NPI number1083362644
StatusActive
Last updated in NPPESMay 22, 2023

Details

NPI
1083362644
Entity type
Individual (NPI-1)
Name
Max Tucker Ackerman
Credential
BS
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 14, 2022
Certification date
May 22, 2023
Last updated
May 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology125.081839ILYes

Practice location

5841 S Maryland Ave # Mc4028
Chicago, IL 60637-1443

Phone 773-702-6842

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Phone 773-702-1150

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