Malone, Mark
Malone, Mark is an individual health care provider with primary practice located at 300 Randall Rd , Geneva IL 60134-4200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Malone, Mark can be contacted via phone (630) 933-4700.Contact Information
Primary practice address
300 Randall Rd
Geneva IL 60134-4200
Phone: (630) 933-4700
Fax: (630) 933-4427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036099264 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036099264 | Illinois |
Profile Details
| NPI number | 1740296953 |
|---|---|
| LBN Legal business name | Malone, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Aug 17th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740296953 | NPPES |
| Illinois | Other | 1617373 | BCBS OF IL |
| Illinois | Other | 206147 | BCBS OF IL |
| Illinois | Other | 1616235 | BCBS OF IL |
| Illinois | Other | F400306267 | BCBS OF IL |
| Illinois | MEDICAID | 036057895 | BCBS OF IL |
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