Individual
DR. MICHELLE RAE MALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2127
(312) 694-2129
Mailing address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2127
(312) 694-2129
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036141505
IL
207P00000X
Emergency Medicine Physician
050762
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2011
Last updated
08/31/2023
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