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Individual

DR. MAREK MALKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5600 W ADDISON ST, SUITE LL001, CHICAGO, IL 60634-4401
(773) 202-9622
(773) 993-0883
Mailing address
5600 W ADDISON ST, SUITE LL001, CHICAGO, IL 60634-4401
(773) 202-9622
(773) 993-0883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036106441
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036106441
IL
Enumeration date
08/15/2006
Last updated
11/14/2022
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