Individual
JOANNA MALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3749 W 95TH ST, EVERGREEN PARK, IL 60805-2019
(708) 422-6569
Mailing address
3749 W 95TH ST, EVERGREEN PARK, IL 60805-2019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012453
IL
Other
Enumeration date
07/27/2015
Last updated
06/11/2016
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