Organization
FAREHA N. MALIK, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAREHA N. MALIK M.D. (OWNER)
(815) 399-2190
Entity
Organization
Contact information
Practice address
3865 N. MULFORD RD., ROCKFORD, IL 61114-5603
(815) 399-2190
(815) 399-5543
Mailing address
3865 N. MULFORD RD., ROCKFORD, IL 61114-5603
(815) 399-2190
(815) 399-5543
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I21229
UPIN
IL
Enumeration date
02/28/2007
Last updated
03/25/2008
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