Individual
MALIK STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 CANONGATE LN, NEW LENOX, IL 60451-3796
(708) 715-8082
Mailing address
905 CANONGATE LN, NEW LENOX, IL 60451-3796
(708) 715-8082
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86175146
IL
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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