Deam, Malcolm A
Deam, Malcolm A is an individual health care provider with primary practice located at 1 Erie Ct Suite L500, Oak Park IL 60302-2566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Deam, Malcolm A can be contacted via phone (708) 763-6478.Contact Information
Primary practice address
1 Erie Ct Suite L500
Oak Park IL 60302-2566
Phone: (708) 763-6478
Fax: (708) 383-1793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036043300 | Illinois |
Profile Details
| NPI number | 1598750549 |
|---|---|
| LBN Legal business name | Deam, Malcolm A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Dec 17th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598750549 | NPPES |
| Illinois | Other | 2160743632 | BCBS PROVIDER ID |
| Illinois | Other | 110044982 | BCBS PROVIDER ID |
| Illinois | MEDICAID | 036043300 | BCBS PROVIDER ID |
| Illinois | Other | 363150672 | BCBS PROVIDER ID |
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