Individual
MOKHTAR MALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2850 W 95TH ST STE 301, EVERGREEN PARK, IL 60805-2741
(708) 636-9205
(708) 422-5505
Mailing address
2850 W 95TH ST STE 301, EVERGREEN PARK, IL 60805-2741
(708) 636-9205
(708) 422-5505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036176183
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2021
Last updated
07/24/2025
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