Individual
MRS. JANE R MALALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 DUGDALE CIRCLE, ANN KICEY CENTER, WAUKEGAN, IL 60085
(847) 249-0600
(847) 249-9701
Mailing address
2460 SARANAC LN, GLENVIEW, IL 60025
(847) 205-1780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36058419
IL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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