Individual
SHAISTA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 WEST ST, PERU, IL 61354-2757
(815) 223-3300
(815) 224-6763
Mailing address
925 WEST ST, PERU, IL 61354-2757
(815) 223-3300
(815) 224-6763
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
08/30/2006
Last updated
07/09/2007
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