MAXWELL ROONEY
NPI 1154123560
Physician Assistant in Great Lakes, IL

Active since March 26, 2025
3410 ILLINOIS ST, GREAT LAKES, IL 60088(847) 688-2469 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 8, 2025, Mar 26, 2025 (2 updates tracked since 2025).

About Maxwell Rooney NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXWELL ROONEY (NPI 1154123560) is an individual physician assistant in Great Lakes, Illinois and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1154123560
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMAXWELL ROONEY
Location Address3410 ILLINOIS STGreat Lakes, IL 60088-3120
Mailing Address11980 36th Cir NeSaint Michael, MN 55376-1056 · (612) 750-3396
Sole ProprietorYes
Enumeration DateMarch 26, 2025
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
NPI 1154123560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3410 ILLINOIS ST, Great Lakes, IL 60088

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3410 ILLINOIS ST
GREAT LAKES, IL 60088
General Practice
3410 ILLINOIS ST
GREAT LAKES, IL 60088
Physical Therapy Assistant
3410 ILLINOIS ST
GREAT LAKES, IL 60088
General Practice
3410 ILLINOIS ST
GREAT LAKES, IL 60088
Specialist/Technologist, Other
3410 ILLINOIS ST
GREAT LAKES, IL 60088
Physician Assistant
3410 ILLINOIS ST
NORTH CHICAGO, IL 60088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxwell Rooney's NPI number?

The NPI number for Maxwell Rooney is 1154123560. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Maxwell Rooney located?

Maxwell Rooney practices at 3410 Illinois St, Great Lakes, IL 60088. The listed phone number is (847) 688-2469.

What is Maxwell Rooney's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Maxwell Rooney was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.