Individual
MARGARET MALICAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
512 W BURLINGTON AVE STE 100, LA GRANGE, IL 60525-2234
(708) 579-4801
(708) 579-4805
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01076694A
IN
207Q00000X
Family Medicine Physician
Primary
036-151295
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201169110
—
IN
01
—
P01723975
RR MEDICARE
IN
Enumeration date
06/03/2013
Last updated
09/05/2025
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