# PATRICK MALARTSIK DC LLC

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

## Provider details

- **NPI number:** 1568724292
- **Authorized official:** LYNNETTE MCROY (BILLING COORDINATOR)
- **Authorized official phone:** (773) 767-3822

## Contact information

- **Practice address:** 401 W ONTARIO ST, SUITE 150, CHICAGO, IL 60654-6957
- **Practice address phone:** (888) 253-5926
- **Practice address fax:** (312) 943-0930
- **Mailing address:** 401 W ONTARIO ST, SUITE 150, CHICAGO, IL 60654-6957
- **Mailing address phone:** (888) 253-5926
- **Mailing address fax:** (312) 943-0930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038012023 | IL | Yes |

## Other

- **Enumeration date:** 06/08/2012
- **Last updated:** 06/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 038012023 | LICENSE | IL |