Malicki, Robert Vincent

Malicki, Robert Vincent is an sole proprietor health care provider with primary practice located at 864 Heather Dr , Bourbonnais IL 60914-1314. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Malicki, Robert Vincent can be contacted via phone (815) 933-8585.

Contact Information

Primary practice address
864 Heather Dr Bourbonnais IL 60914-1314
Phone: (815) 933-8585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051-33532 Illinois

Profile Details

NPI number 1952669145
LBN Legal business name Malicki, Robert Vincent
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2012
Last updated Apr 25th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952669145 NPPES
Other 2569824 DOG TAG

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