Individual
MR. BRYAN S MALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHPE, CO
Contact information
Practice address
2300 N CHILDRENS PLZ, #46, CHICAGO, IL 60614-3363
(773) 327-1061
Mailing address
2056 W BRADLEY PL, #2, CHICAGO, IL 60618-4908
(773) 935-6751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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