Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036.135214 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 036.135214 | IL |
NPI | 1326337130 |
---|---|
Provider Name | Dr. Owais M Malick |
First Address | Chicago, IL 60673-1285 |
Second Address | Downers Grove, IL 60515-1552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 30/12/2021 |