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Individual

DR. MALATHI RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1411 S MICHIGAN AVE, CHICAGO, IL 60605-2810
(312) 942-4500
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036136041
IL
2084V0102X
Vascular Neurology Physician
036136041
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265694525
MI
01
206147
MEDICARE PTAN (GROUP)
IL
01
F400166053
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/27/2008
Last updated
01/09/2026
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