Individual
DR. RICHARD MALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 S STATE ST, ELGIN, IL 60123-7612
(847) 742-1040
Mailing address
750 S STATE ST, ELGIN, IL 60123-7612
(847) 742-1040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-104239
IL
2084P0800X
Psychiatry Physician
Primary
036-104239
IL
Other
Enumeration date
01/26/2007
Last updated
12/17/2014
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