# DR. W. S. MALHAS, S. C.

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

## Provider details

- **NPI number:** 1790724169
- **Authorized official:** DR. WADE MALHAS M.D. (PHYSICIAN / OWNER)
- **Authorized official phone:** (630) 718-0200

## Contact information

- **Practice address:** 2701 W 68TH ST, CHICAGO, IL 60629-1813
- **Practice address phone:** (312) 471-8000
- **Mailing address:** 1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
- **Mailing address phone:** (630) 718-0200
- **Mailing address fax:** (630) 718-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 11/06/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 21621243 | BLUE CROSS / BLUE SHIELD | IL |