Organization
MALCOLM A DEAM MD & ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM A DEAM MD (PRESIDENT)
(708) 383-6200
Entity
Organization
Contact information
Practice address
1 ERIE CT, SUITE L500, OAK PARK, IL 60302-2566
(708) 383-6200
(708) 383-1793
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160743632
BCBS PROVIDER ID
IL
01
—
CB4052
RAILROAD MEDICARE
IL
Enumeration date
08/10/2006
Last updated
04/20/2008
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