Individual
BRUCE C MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17148 HARLEM AVE, TINLEY PARK, IL 60477-3370
(708) 429-1200
(708) 429-4845
Mailing address
1860 PAYSHERE CIR, CHICAGO, IL 60674-9767
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036069675
IL
Other
Enumeration date
01/17/2007
Last updated
06/17/2022
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