# NAVEED K. MALLICK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chicago Center for Adult Medicine, IC Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336472851
- **Authorized official:** DR. NAVEED K. MALLICK M.D. (PHYSICIAN)
- **Authorized official phone:** (773) 321-0200

## Contact information

- **Practice address:** 2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
- **Practice address phone:** (810) 275-9333
- **Mailing address:** 1642 E 56TH ST, SUITE 107, CHICAGO, IL 60637-1952
- **Mailing address phone:** (773) 321-0200
- **Mailing address fax:** (877) 863-7393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-101915 | IL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 036-101915 | IL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | 036.101915 | IL | Yes |

## Other

- **Enumeration date:** 09/16/2009
- **Last updated:** 07/11/2022