Individual
COURTNEY MALINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 288-5531
Mailing address
11015 COOK AVE, OAK LAWN, IL 60453-6334
(708) 972-6642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011251
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2025
Last updated
09/02/2025
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