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Dr. Usha D Malkerneker, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Hazel Crest, Illinois
NPI 1568525277

Usha D Malkerneker is an Addiction Medicine (Psychiatry & Neurology) Physician based in Hazel Crest, IL and is specialized in Addiction Medicine. Usha D Malkerneker practices in Hazel Crest, IL and has the professional credentials of MD. The NPI Number for Usha D Malkerneker is 1568525277 and holds a License No. 036.057305 (Illinois).

The current practice location address for Usha D Malkerneker is 17100 Dixie Hwy Ste D, Hazel Crest, IL and can be reached out via phone at 708-335-1155 and via fax at 708-335-1171.

Location: 17100 Dixie Hwy Ste D, Hazel Crest, IL, 60429-1485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568525277
Provider Name
Usha D Malkerneker
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
17100 Dixie Hwy Ste D, Hazel Crest, IL, 60429-1485
Phone Number
708-335-1155
Fax Number
708-335-1171
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36369473501 05 IL
institution
Provider Business Practice Location Address Details
Address
17100 Dixie Hwy Ste D
City
Hazel Crest
State
Illinois
Zip
60429-1485
Phone Number
708-335-1155
Fax Number
708-335-1171
person
Provider Business Mailing Address Details
Address
17100 Dixie Hwy Ste D
City
Hazel Crest
State
Illinois
Zip
60429-1485
Phone Number
708-335-1155
Fax Number
708-335-1171
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
036.057305 (Illinois)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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