Mallett, Eric Michael

Mallett, Eric Michael is an individual health care provider with primary practice located at 486 Randall Rd Unit B , South Elgin IL 60177-3354. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mallett, Eric Michael can be contacted via phone (224) 783-5000.

Contact Information

Primary practice address
486 Randall Rd Unit B South Elgin IL 60177-3354
Phone: (224) 783-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036.125880 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301090660 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.125880 Illinois

Profile Details

NPI number 1528265816
LBN Legal business name Mallett, Eric Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Mar 13th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528265816 NPPES
Michigan Other 700H231390 BCBS GROUP NUMBER

Popular Providers