Dr. Kevin Paul Malone
Podiatrist
1715 E 95th St
Chicago
, Illinois 60617-4708
Dr. Kevin Paul Malone
Podiatrist
1715 E 95th St
Chicago
, Illinois 60617-4708
(773) 564-3515
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Kevin Paul Malone
- 1715 E 95th St
- Chicago, IL
- Zip : 60617-4708
- Fax : (773) 564-3515
- Phone : (773) 768-4437
Second Address
- Dr. Kevin Paul Malone
- 1715 E 95th St
- Chicago, IL
- Zip : 60617-4708
- Fax : (773) 564-3515
- Phone : (773) 768-4437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016005462 | IL |
| Y | 222Z00000X | Podiatrist | 016005462 | IL |
National Provider Identifier
| NPI | 1003082488 |
|---|---|
| Provider Name | Dr. Kevin Paul Malone |
| First Address | Chicago, IL 60617-4708 |
| Second Address | Chicago, IL 60617-4708 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2008 |
| Last Update Date | 19/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.