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Mallia Eihentale
Family Nurse Practitioner in Rolling Meadows, Illinois
NPI 1770198228

Mallia Eihentale is a Family Nurse Practitioner based in Glenview, IL and is specialized in Family. Mallia Eihentale practices in Rolling Meadows, IL. The NPI Number for Mallia Eihentale is 1770198228 and holds a License No. 209.018102 (Illinois).

The current practice location address for Mallia Eihentale is 5301 Keystone Ct, Rolling Meadows, IL and can be reached out via phone at 847-392-5440.

Location: 5301 Keystone Ct, Rolling Meadows, IL, 60025-5113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770198228
Provider Name
Mallia Eihentale
Credential
Provider Entity Type
Individual
Gender
Female
Address
5301 Keystone Ct, Rolling Meadows, IL, 60025-5113
Phone Number
847-392-5440
Fax Number
Provider Enumeration Date
09/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5301 Keystone Ct
City
Rolling Meadows
State
Illinois
Zip
60008-3811
Phone Number
847-392-5440
Fax Number
person
Provider Business Mailing Address Details
Address
5301 Keystone Ct
City
Rolling Meadows
State
Illinois
Zip
60008-3811
Phone Number
847-392-5440
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.018102 (Illinois)
Definition
Definition to come...
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