Individual
DR. ANTO VARGHESE MALIAKKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. H.M.D.C
Contact information
Practice address
8S165 S VINE ST, BURR RIDGE, IL 60527-5541
(630) 835-7613
Mailing address
8S165 S VINE ST, BURR RIDGE, IL 60527-5541
(630) 835-7613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01042537A
IN
207R00000X
Internal Medicine Physician
Primary
0366083220
IL
207R00000X
Internal Medicine Physician
C54950
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01042537A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0366083220
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
C54950
CA
Other
Enumeration date
07/30/2006
Last updated
05/31/2023
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