Individual
SOPHIA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
328 E PALMER AVE, ADDISON, IL 60101-4027
(630) 402-7238
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209.027254
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209027254
IL
Other
Enumeration date
07/07/2023
Last updated
10/10/2023
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