NADIR MALLICK


Address: 20180 S Lagrange Rd, Frankfort, IL 60423-3153
Phone: 8154642010

NADIR MALLICK (NPI# 1386930428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386930428
Entity Type Individual
Full Name NADIR MALLICK
Credential MD
Practice Address 20180 S Lagrange Rd
Frankfort
IL 60423-3153
Mailing Address 1040 Sierra Dr
Suite 400
Greenwood
IN 46143-7241
Practice Telephone 8154642010
Practice Fax Number 8154642181
Mailing Telephone 3175284800
Mailing Fax Number 3178651479
Enumeration Date 2011-06-28
Last Update Date 2015-04-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301099249 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 4301099249 MI Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICARE PTAN F400183639 01
IL 036136607 05

Office Location

Street Address 20180 S LAGRANGE RD
City FRANKFORT
State IL
Zip Code 60423-3153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134179963 Marshall Edward James Jr. Family Medicine 20180 S Lagrange Rd, Frankfort, IL 60423-3153 2006-05-11
1962024612 Specialty Physicians of Illinois, LLC Clinic/Center 20180 S Lagrange Rd, Frankfort, IL 60423-3153 2020-05-15
1194062026 Franciscan Physician Network Clinic/Center 20180 S Lagrange Rd, Frankfort, IL 60423-3153 2013-01-11
1407086515 Titilayo Colette Abiona Family Medicine 20180 S Lagrange Rd, Frankfort, IL 60423 2009-07-23
1598780942 Michelle B Burns Family Medicine 20180 S Lagrange Rd, Frankfort, IL 60423 2006-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316589542 Katherine Melissa Helm-lewis Psychologist Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 2019-10-09
1548819295 Edith Stemmer Technician 22921 Toscana Drive, Frankfort, IL 60423 2019-09-05
1063974343 Kailan Nicole Kathryn Paul Occupational Therapist 21000 S. Frankfort Square Road, Suite D, Frankfort, IL 60423 2019-04-04
1568928687 Sari Leonela Perez Behavior Technician 5419 W. 87th St., Oak Lawn, IL 60423 2019-02-13
1992210322 Personal Solutions Counseling, PC Counselor 20855 S. Lagrange Rd, Suite 202, Frankfort, IL 60423 2017-12-07
1255850038 Abrahim Alramhi Specialist/Technologist 7635 West Juniper Ct, Frankfort, IL 60423 2017-09-13
1982120051 Jakara Lynne Hubbard Counselor 20550 S Lagrange Rd Ste 105, Frankfort, IL 60423 2017-08-20
1922558345 Madison Gaffney Behavioral Analyst 2100 S Frankfort Sq Road, Suite D, Frankfort, IL 60423 2016-10-10
1972050094 Shannon Schaefer Occupational Therapist 21000 S. Frankfort Square Rd, Ste D, Frankfort, IL 60423 2016-09-07
1336515949 Anthony Joseph Vuckovich Chiropractor 9645 Lincolnway Ln Ste 112, Frankfort, IL 60423 2015-08-18
Find all providers in zip 60423

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417565755 Ghr Total Health and Consulting Family Medicine 11336 Mckenna Dr, Frankfort, IL 60423-8096 2020-07-22
1215459664 Samantha Jain Family Medicine 21160 S La Grange Rd, Frankfort, IL 60423-2010 2017-07-07
1437679958 Unity Healthcare, LLC Family Medicine 2002 West County Road 0 N/s, Frankfort, IN 46041 2017-06-26
1477915866 Lauren Ramsey Ridderikhoff Family Medicine 1001 Leawood Dr Ste C, Frankfort, KY 40601-3375 2016-03-24
1841552080 Alaka Subhash Waikar Family Medicine 1010 S Butternut Cir, Frankfort, IL 60423-2125 2012-06-13
1831458850 Frankfort Urgent Care Family Medicine 101 Kings Daughters Dr, Ste B, Frankfort, KY 40601-4197 2012-05-11
1356619530 Rosario Teano De Castro Family Medicine 558 Aberdeen Rd, Frankfort, IL 60423-9715 2011-12-02
1104151943 Family Medicine Associates of Frankfort Pllc Family Medicine 111 Westridge Dr, Suite F, Frankfort, KY 40601-4448 2009-10-13
1487810107 Zakia Naz Family Medicine 1258 Oak St Ste B, Frankfort, IN 46041-3378 2008-08-01
1003080870 Kc Health Horizons, Inc. Family Medicine 8964 Raintree Ln, Frankfort, IL 60423-6606 2008-04-14
Find all providers in FRANKFORT

Competitor

Search similar providers

City FRANKFORT
Zip Code 60423

Improve Information

Please comment or provide details below to improve the information on NADIR MALLICK.

Dataset Information

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.

Trending Searches