Peter B Malench in Maryville - Family Medicine
Peter B Malench - NPI 1760465165
Peter B Malench is a Family Medicine in Maryville, Illinois. Peter B Malench practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Peter B Malench is 1760465165. The last update date is 2015-06-23.
Peter B Malench's current location address is 10 Professional Park Dr, Maryville, Illinois. You can contact this provider via phone number 6182887244. The mailing address for Peter B Malench is 10 Professional Park Dr, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter B Malench |
|---|---|
| Address | 10 Professional Park Dr, Maryville, Illinois |
| Phone Number | 6182887244 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760465165 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2015-06-23 |
Provider Mailing Address Detail
| Address | 10 Professional Park Dr |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620625672 |
| Phone Number | 6182887244 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3689542 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3089542 | IL | -- | |
| 204900500 | MO | -- | |
| 36089542 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Peter B Malench by the Centers for Medicare & Medicaid Services?
The Peter B Malench has been issued the NPI (National Provider Identifier) 1760465165 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Peter B Malench is geographically located?
The Peter B Malench is physically situated at the following location: 10 Professional Park Dr, Maryville, IL, 620625672.
What is Peter B Malench's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Peter B Malench is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did Peter B Malench receive its 1760465165 assignment?
The Peter B Malench was assigned its 1760465165 on 2005-11-21, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Peter B Malench most recently updated or revised?
The information pertaining to Peter B Malench, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-23.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL