Individual
TENNYSON M MALIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 N MCLEAN BLVD # 103, ELGIN, IL 60123-3275
(224) 227-6178
(224) 238-3237
Mailing address
PO BOX 7065, LOVELAND, CO 80537-0065
(301) 503-9055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.164531
IL
2085R0202X
Diagnostic Radiology Physician
268722
NY
2085R0202X
Diagnostic Radiology Physician
Primary
C129067
CA
2085R0202X
Diagnostic Radiology Physician
D70541
MD
2085R0202X
Diagnostic Radiology Physician
MD19550
ME
2085R0202X
Diagnostic Radiology Physician
MD435668
PA
Other
Enumeration date
01/16/2009
Last updated
01/08/2025
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