Deam, Malcolm A

Deam, Malcolm A is an individual health care provider with primary practice located at 1 Erie Ct Suite L500, Oak Park IL 60302-2566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Deam, Malcolm A can be contacted via phone (708) 763-6478.

Contact Information

Primary practice address
1 Erie Ct Suite L500 Oak Park IL 60302-2566
Phone: (708) 763-6478
Fax: (708) 383-1793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036043300 Illinois

Profile Details

NPI number 1598750549
LBN Legal business name Deam, Malcolm A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Dec 17th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598750549 NPPES
Illinois Other 2160743632 BCBS PROVIDER ID
Illinois Other 110044982 BCBS PROVIDER ID
Illinois MEDICAID 036043300 BCBS PROVIDER ID
Illinois Other 363150672 BCBS PROVIDER ID

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