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Individual

MALEK AKHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036121167
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036121167
IL
01
399980
MEDICARE PTAN
IL
Enumeration date
08/31/2006
Last updated
09/13/2022
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