MR. MICHAEL MALONE (NPI# 1164508263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164508263 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL MALONE |
| Credential | DO |
| Practice Address |
5159 S. Ashland Ave Chicago IL 60609-5322 |
| Mailing Address |
5050 S State St Chicago IL 60609-5302 |
| Practice Telephone | 7734349216 |
| Practice Fax Number | 7734342670 |
| Mailing Telephone | 7739245898 |
| Mailing Fax Number | 7739245791 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2014-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-103685 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036103685 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133346 | Michael William Malone II | Physician Assistant | 2372 Southside Rd, Lincolnton, NC 28092-9386 | 2020-01-24 |
| 1730651977 | Michael A Malone | Counselor | 1217 Springhealth Ct, St Augustine, FL 32092-2460 | 2018-12-28 |
| 1720568082 | Michael Malone | Physical Therapist | 1011 E Wintergreen Rd, Cedar Hill, TX 75104-1411 | 2018-08-16 |
| 1093953937 | Michael C Malone | Physical Therapist | 5160 Landing View Dr, Granite Falls, NC 28630-8750 | 2009-01-30 |
| 1073766291 | Michael Wayne Malone | Dentist | 800 North State Street, Rolla, MO 65401 | 2008-10-31 |
| 1518036912 | Michael T Malone IIi | Chiropractor | 437 Ne Main St, Estacada, OR 97023-8528 | 2006-11-07 |
| 1952480725 | Michael Patrick Malone | Counselor | 10632 Little Patuxent Pkwy Ste 310, Columbia, MD 21044-6263 | 2006-11-03 |
| 1578679478 | Michael Daniel Malone | Marriage & Family Therapist | 4275 Lemon Street, Suite 205, Riverside, CA 92501 | 2006-08-22 |
| 1285671479 | Michael J Malone | Urology | 1 Lyons Street, Dedham Medical Associates, Dedham, MA 02026 | 2006-05-31 |
| 1982650719 | Michael D Malone | Surgery | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2006-05-25 |
| Street Address |
5159 S. ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60609-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1306407721 | Athletico Ltd | Physical Therapist | 5336 S State St, Chicago, IL 60609 | 2019-06-26 |
| 1396157939 | Unlimited Resources | Private Vehicle | 8104 S. Kingston, Chicago, IL 60609 | 2014-06-02 |
| 1013215474 | Giles B. Mizock M.d. Ltd. | Obstetrics & Gynecology | 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 | 2011-03-09 |
| 1164691630 | Alfreda D Beard | Dentist | 5050 So State, Chicago, IL 60609 | 2008-02-28 |
| 1588876510 | Victor P Gutierrez | Chiropractor | 1824 W. 47th St., Chicago, IL 60609 | 2007-05-03 |
| 1619092558 | Highlander Care Center, LLC | Skilled Nursing Facility | 4815 S Western Ave, Chicago, IL 60609 | 2007-03-20 |
| 1437295482 | Rolando A Lara | Internal Medicine | 1708 W 47th St, Chicago, IL 60609 | 2007-01-29 |
| 1497765168 | Judith H Mcdevitt | Nurse Practitioner | 734 W. 47th Street, Ihc South, Chicago, IL 60609 | 2006-08-08 |
| 1790795474 | Lorrita Marie Verhey | Nurse Practitioner | 734 W. 47th Street South, Ihc, Chicago, IL 60609 | 2006-08-08 |
| Find all providers in zip 60609 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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 is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.