Malone, Mark

Malone, Mark is an individual health care provider with primary practice located at 300 Randall Rd , Geneva IL 60134-4200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Malone, Mark can be contacted via phone (630) 933-4700.

Contact Information

Primary practice address
300 Randall Rd Geneva IL 60134-4200
Phone: (630) 933-4700
Fax: (630) 933-4427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036099264 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036099264 Illinois

Profile Details

NPI number 1740296953
LBN Legal business name Malone, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 17th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740296953 NPPES
Illinois Other 1617373 BCBS OF IL
Illinois Other 206147 BCBS OF IL
Illinois Other 1616235 BCBS OF IL
Illinois Other F400306267 BCBS OF IL
Illinois MEDICAID 036057895 BCBS OF IL

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