Maloney, Michael Bernard

Maloney, Michael Bernard is an individual health care provider with primary practice located at 9951 Rock Cut Xing , Loves Park IL 61111-1999. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Maloney, Michael Bernard can be contacted via phone (815) 639-8500.

Contact Information

Primary practice address
9951 Rock Cut Xing Loves Park IL 61111-1999
Phone: (815) 639-8500
Fax: (815) 639-8501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036070824 Illinois

Profile Details

NPI number 1164452611
LBN Legal business name Maloney, Michael Bernard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 22nd, 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 1164452611 NPPES
Illinois Other 553180 GRUOP #
Illinois MEDICAID 036070824 GRUOP #
Illinois Other 834340 GRUOP #

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