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Individual
DR. NAVEED K MALLICK
Active
Individual
DR. NAVEED K MALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-101915
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036101915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101915
—
IL
01
—
13336472851
BCBS GROUP NUMBER
IL
01
—
1336472851
NPI GROUP NUMBER
IL
01
—
1600527
BCBS INDIVIDUAL NUMBER
IL
01
—
3203001
PTAN INDIVIDUAL
IL
01
—
DS3487
RAILROAD MEDICARE PTAN
IL
01
—
IL3203
PTAN GROUP
IL
Enumeration date
12/28/2006
Last updated
03/13/2025
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