Individual
CHRISTIAN MALALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S GREENLEAF ST STE E, GURNEE, IL 60031-3398
(800) 991-6117
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036135023
IL
2085R0202X
Diagnostic Radiology Physician
0101258515
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101258515
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036135023
IL
Other
Enumeration date
06/22/2009
Last updated
02/15/2025
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