Maliwat, Michelle O.

Maliwat, Michelle O. is an individual health care provider with primary practice located at 9375 W Church St , Des Plaines IL 60016-4271. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Maliwat, Michelle O. can be contacted via phone (847) 824-5165.

Contact Information

Primary practice address
9375 W Church St Des Plaines IL 60016-4271
Phone: (847) 824-5165
Fax: (847) 824-8038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1013100478
LBN Legal business name Maliwat, Michelle O.
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2007
Last updated Aug 20th, 2007 - about 19 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 1013100478 NPPES
Illinois MEDICAID 362169147-60635-01

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