Individual
DR. USHA D MALKERNEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17100 DIXIE HWY STE D, HAZEL CREST, IL 60429-1485
(708) 335-1155
(708) 335-1171
Mailing address
17100 DIXIE HWY STE D, HAZEL CREST, IL 60429-1485
(708) 335-1155
(708) 335-1171
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
036.057305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36369473501
—
IL
Enumeration date
12/18/2006
Last updated
05/31/2018
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