Individual
MARY ABDELMALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 E. STATE ST., ROCKFORD, IL 61104
(815) 972-1037
(815) 972-1086
Mailing address
913 N. MAIN ST., UNIT 204, ROCKFORD, IL 61103
(416) 312-5616
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
07/25/2024
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