Organization
KATHLEEN H MALOUL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MALOUL M.D. (PRESIDENT)
(773) 267-0422
Entity
Organization
Contact information
Practice address
3414 W PETERSON AVE, SUITE D, CHICAGO, IL 60659-3452
(773) 267-0422
Mailing address
3414 W PETERSON AVE, SUITE D, CHICAGO, IL 60659-3452
(773) 267-0422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036078007
IL
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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