Organization
MUNDELEIN PEDIATRICS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G. MALLOY M.D. (VICE PRESIDENT)
(847) 548-7337
Entity
Organization
Contact information
Practice address
1170 E BELVIDERE RD, SUITE 106, GRAYSLAKE, IL 60030-2061
(847) 548-7337
(847) 548-9909
Mailing address
1170 E BELVIDERE RD, SUITE 106, GRAYSLAKE, IL 60030-2061
(847) 548-7337
(847) 548-9909
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
IL
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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