Individual
MALIK ABDU SALAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(508) 797-7917
Mailing address
1347 W WOLFRAM ST APT 1R, CHICAGO, IL 60657-4139
(508) 797-7917
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.083634
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2024
Last updated
05/14/2024
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