Clayton R. Malaker, M.D., S.C.
LBN: Clayton R. Malaker, M.D., S.C.
Clayton R. Malaker, M.D., S.C. is an health care organization with primary practice located at 824 Van Buren St , Belvidere IL 61008-2252. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Clayton R. Malaker, M.D., S.C. can be contacted via phone (815) 544-3481, or through Malaker, Clayton R. via phone (815) 544-3481.
Contact Information
Primary practice address
824 Van Buren St
Belvidere IL 61008-2252
Phone: (815) 544-3481
Fax:
Website:
Authorized official contact:
Name: Malaker, Clayton R. Doctor of Medicine (MD)
Phone: (815) 544-3481
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-075458 | Illinois |
Profile Details
| NPI number | 1144559485 |
|---|---|
| LBN Legal business name | Clayton R. Malaker, M.D., S.C. |
| DBA Doing business as | |
| Authorized official | Malaker, Clayton R. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 16th, 2009 |
| Last updated | Mar 16th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144559485 | NPPES |
| Illinois | Other | 036-075458 | ILLINOIS LICENSE |
| Illinois | Other | 0000400014 | ILLINOIS LICENSE |
| Illinois | MEDICAID | 036075458 | ILLINOIS LICENSE |
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