Organization
DR. W. S. MALHAS, S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE MALHAS M.D. (PHYSICIAN / OWNER)
(630) 718-0200
Entity
Organization
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(312) 471-8000
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21621243
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
06/04/2006
Last updated
11/06/2007
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