Individual
WILLIAM C MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 OAKLEY AVE, STREATOR, IL 61364-1002
(815) 673-2850
(815) 672-0936
Mailing address
501 OAKLEY AVE, STREATOR, IL 61364-1002
(815) 673-2850
(815) 672-0936
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036059723
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02201538
BLUE SHIELD
IL
05
—
036059723
—
IL
Enumeration date
07/26/2006
Last updated
09/11/2013
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