MAXIMILLION MACON – NPI #1912869074
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

MAXIMILLION MACON is a peer specialist located in FRANKLIN PARK, IL. NPPES has assigned the NPI number 1912869074 to MAXIMILLION MACON on November 26, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for MAXIMILLION MACON below.

NPI Profile for
MAXIMILLION MACON

NPI Number
1912869074
Enumeration Date

(about 6 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MAXIMILLION MACON
Primary location
10001 GRAND AVE STE 1
FRANKLIN PARK, IL 60131-2564
Phone: (847) 451-0330 Fax:
Mailing address
16 S CENTRAL AVE
CHICAGO, IL 60644-4257
Phone: (773) 799-4899 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Nov 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.