Individual
DR. GAUTAM MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3043 N WILTON AVE, 2ND FLOOR, CHICAGO, IL 60657
(773) 296-5424
(773) 296-5280
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-128378
IL
207R00000X
Internal Medicine Physician
Primary
ME143824
FL
208M00000X
Hospitalist Physician
036-128378
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL5686064
MEDICARE PTAN
IL
Enumeration date
05/24/2008
Last updated
10/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us