Individual
MARIA MALANYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5731 ROSINWEED LN, NAPERVILLE, IL 60564-1635
(630) 696-1569
Mailing address
5731 ROSINWEED LN, NAPERVILLE, IL 60564-1635
(630) 696-1569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021207
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9140860054
AETNA
IL
Enumeration date
10/27/2020
Last updated
10/27/2020
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