Individual
MARIA DHOREEN MALALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4740 N CLARK ST, CHICAGO, IL 60640-4689
(773) 769-0205
Mailing address
4740 N CLARK ST, CHICAGO, IL 60640-4689
(773) 769-0205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041400722
IL
163W00000X
Registered Nurse
747445
CA
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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