Malkerneker, Usha D

Malkerneker, Usha D is an sole proprietor health care provider with primary practice located at 17100 Dixie Hwy Ste D , Hazel Crest IL 60429-1485. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Malkerneker, Usha D can be contacted via phone (708) 335-1155.

Contact Information

Primary practice address
17100 Dixie Hwy Ste D Hazel Crest IL 60429-1485
Phone: (708) 335-1155
Fax: (708) 335-1171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 036.057305 Illinois

Profile Details

NPI number 1568525277
LBN Legal business name Malkerneker, Usha D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated May 31st, 2018 - about 7 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 1568525277 NPPES
Illinois MEDICAID 36369473501

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