Malecki, Dennis Eugene

Malecki, Dennis Eugene is an individual health care provider with primary practice located at 8700 W 95Th St Suite 6, Hickory Hills IL 60457-2700. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Malecki, Dennis Eugene can be contacted via phone (708) 430-2400.

Contact Information

Primary practice address
8700 W 95Th St Suite 6 Hickory Hills IL 60457-2700
Phone: (708) 430-2400
Fax: (708) 430-2417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 03652516 Illinois

Profile Details

NPI number 1033101423
LBN Legal business name Malecki, Dennis Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated May 5th, 2008 - about 18 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 1033101423 NPPES
Illinois Other 363137473 TAX ID
Illinois MEDICAID 036052516 TAX ID
Illinois Other 080037003 TAX ID

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