Individual
GERALDINE MALANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO., MPH
Contact information
Practice address
2750 W NORTH AVE, CHICAGO, IL 60647-5247
(312) 666-3494
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701
(312) 666-3494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125066819
IL
207Q00000X
Family Medicine Physician
Primary
274859
MA
Other
Enumeration date
04/02/2015
Last updated
09/18/2018
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