Individual
DR. NAVEED K MALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1642 E 56TH ST, SUITE 107, CHICAGO, IL 60637-1952
(773) 321-0200
(877) 863-7393
Mailing address
1642 E 56TH ST, SUITE 107, CHICAGO, IL 60637-1952
(773) 321-0200
(877) 863-7393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-101915
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036101915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101915
—
IL
01
—
13336472851
BCBS GROUP NUMBER
IL
01
—
1336472851
NPI GROUP NUMBER
IL
01
—
1600527
BCBS INDIVIDUAL NUMBER
IL
01
—
3203001
PTAN INDIVIDUAL
IL
01
—
DS3487
RAILROAD MEDICARE PTAN
IL
01
—
IL3203
PTAN GROUP
IL
Enumeration date
12/28/2006
Last updated
03/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us