Individual
DR. MARSHA M MALOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
806 CENTRAL AVE, STE 300, HIGHLAND PARK, IL 60035-5613
(847) 432-6010
(847) 432-8241
Mailing address
806 CENTRAL AVE, STE 300, HIGHLAND PARK, IL 60035-5613
(847) 432-6010
(847) 432-8241
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
046009451
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618233
BCBS
IL
01
—
01618235
BCBS
IL
05
—
046009451
—
IL
01
—
04915295
BCBS
IL
01
—
P00187476
RAILROAD MEDICARE
IL
Enumeration date
11/29/2005
Last updated
03/15/2012
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