Malloy, Colleen A

Malloy, Colleen A is an individual health care provider with primary practice located at 250 E Superior St Fl 10 , Chicago IL 60611-2914. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Malloy, Colleen A can be contacted via phone (312) 472-3776.

Contact Information

Primary practice address
250 E Superior St Fl 10 Chicago IL 60611-2914
Phone: (312) 472-3776
Fax: (312) 472-4099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME167883 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036102036 Illinois

Profile Details

NPI number 1659324317
LBN Legal business name Malloy, Colleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 2nd, 2024 - about 7 months 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 1659324317 NPPES
Illinois MEDICAID 036102036

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