Individual
BHOOMANYU MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-5701
Mailing address
1500 S FAIRFIELD AVE # F-908, CHICAGO, IL 60608-1782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.082753
IL
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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