Individual
LIAQUAT N MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(309) 692-9898
Mailing address
PO BOX 10140, PEORIA, IL 61612-0140
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036082393
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082393
—
IL
01
—
300020424
RAILROAD
IL
Enumeration date
05/24/2006
Last updated
12/07/2010
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