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Nadir Mallick, MD
Student in an Organized Health Care Education/Training Program in Frankfort, Illinois
NPI 1386930428

Nadir Mallick is a Student in an Organized Health Care Education/Training Program based in Greenwood, IL. Nadir Mallick practices in Frankfort, IL and has the professional credentials of MD. The NPI Number for Nadir Mallick is 1386930428 and holds a License No. 4301099249 (Illinois).

The current practice location address for Nadir Mallick is 20180 S Lagrange Rd, Frankfort, IL and can be reached out via phone at 815-464-2010 and via fax at 815-464-2181.

Location: 20180 S Lagrange Rd, Frankfort, IL, 46143-7241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386930428
Provider Name
Nadir Mallick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20180 S Lagrange Rd, Frankfort, IL, 46143-7241
Phone Number
815-464-2010
Fax Number
815-464-2181
Provider Enumeration Date
06/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F400183639 01 IL MEDICARE PTAN
036136607 05 IL
institution
Provider Business Practice Location Address Details
Address
20180 S Lagrange Rd
City
Frankfort
State
Illinois
Zip
60423-3153
Phone Number
815-464-2010
Fax Number
815-464-2181
person
Provider Business Mailing Address Details
Address
20180 S Lagrange Rd
City
Frankfort
State
Illinois
Zip
60423-3153
Phone Number
815-464-2010
Fax Number
815-464-2181
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301099249 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301099249 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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