Gautam Malik is a Internal Medicine in Chicago, Illinois. Gautam Malik practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gautam Malik is 1285892455. The last update date is 2021-10-21.
Gautam Malik's current location address is 3043 N Wilton Ave, Chicago, Illinois. You can contact this provider via phone number 7732965424 and fax number 7732965280. The mailing address for Gautam Malik is 3043 N Wilton Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gautam Malik |
|---|---|
| Address | 3043 N Wilton Ave, Chicago, Illinois |
| Phone Number | 7732965424 |
| Fax Number | 7732965280 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285892455 |
|---|---|
| Provider Enumeration Date | 2008-05-24 |
| Last Updated Date | 2021-10-21 |
Provider Mailing Address Detail
| Address | 3043 N Wilton Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60657 |
| Phone Number | 7732965424 |
| Fax Number | 7732965280 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 036-128378 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL5686064 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gautam Malik by the Centers for Medicare & Medicaid Services?
The Gautam Malik has been issued the NPI (National Provider Identifier) 1285892455 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gautam Malik is located?
The Gautam Malik is situated at the following address: 3043 N Wilton Ave, Chicago, IL, 60657.
What is Gautam Malik's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gautam Malik is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285892455 to Gautam Malik?
The Centers for Medicare & Medicaid Services originally issued the 1285892455 to Gautam Malik on 2008-05-24.
When was the information related to Gautam Malik most recently updated or refreshed?
The details pertaining to the Gautam Malik, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-21.