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Individual
MALCOLM GEBAUER
Active
Individual
MALCOLM GEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.176874
IL
2084P0800X
Psychiatry Physician
125.083009
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036.176874
IL
390200000X
Student in an Organized Health Care Education/Training Program
036.176874
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125.083009
IL
Other
Enumeration date
07/07/2023
Last updated
05/11/2026
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