Individual
DR. MALIK NASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
676 N SAINT CLAIR ST STE 945, CHICAGO, IL 60611-2952
(312) 695-9627
(312) 695-6072
Mailing address
676 N SAINT CLAIR ST STE 945, CHICAGO, IL 60611-2952
(312) 695-9627
(312) 695-6072
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036156537
IL
2084P0800X
Psychiatry Physician
27506
MN
2084P0800X
Psychiatry Physician
64359
MN
Other
Enumeration date
06/17/2016
Last updated
07/09/2021
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