# MUNDELEIN PEDIATRICS, S.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336294800
- **Authorized official:** DR. ROBERT G. MALLOY M.D. (VICE PRESIDENT)
- **Authorized official phone:** (847) 548-7337

## Contact information

- **Practice address:** 1170 E BELVIDERE RD, SUITE 106, GRAYSLAKE, IL 60030-2061
- **Practice address phone:** (847) 548-7337
- **Practice address fax:** (847) 548-9909
- **Mailing address:** 1170 E BELVIDERE RD, SUITE 106, GRAYSLAKE, IL 60030-2061
- **Mailing address phone:** (847) 548-7337
- **Mailing address fax:** (847) 548-9909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020