Mallick, Nadir
Mallick, Nadir is an individual health care provider with primary practice located at 20180 S Lagrange Rd , Frankfort IL 60423-3153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mallick, Nadir can be contacted via phone (815) 464-2010.Contact Information
Primary practice address
20180 S Lagrange Rd
Frankfort IL 60423-3153
Phone: (815) 464-2010
Fax: (815) 464-2181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301099249 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301099249 | Michigan |
Profile Details
| NPI number | 1386930428 |
|---|---|
| LBN Legal business name | Mallick, Nadir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2011 |
| Last updated | Apr 17th, 2015 - about 9 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 | 1386930428 | NPPES |
| Illinois | Other | F400183639 | MEDICARE PTAN |
| Illinois | MEDICAID | 036136607 | MEDICARE PTAN |
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