Anthony E Malench
MALENCH AND MALENCH MDS


Address: 10 Professional Park Dr, Maryville, IL 62062-5672
Phone: 6182887244

Anthony E Malench (NPI# 1760560064, PAC ID# 0244392702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1760560064
PAC ID by PECOS 0244392702
Professional Enrollment ID I20101022001094
Full Name Anthony E Malench
Organization Legal Name MALENCH AND MALENCH MDS
Address 10 Professional Park Dr
Maryville
IL 62062-5672
Phone Number 6182887244
Gender M
Medical School SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 5890857353
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140289 ANDERSON HOSPITAL
141336 ST JOSEPH'S HOSPITAL
141306 COMMUNITY MEMORIAL HOSPITAL
140125 GATEWAY REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
10 Professional Park Dr, Maryville, IL 62062-5672 6182887244 MALENCH AND MALENCH MDS
6810 State Route 162 203, Maryville, IL 62062-8566 6182882120 MARYVILLE PHYSICIANS SERVICES LLC
6810 State Route 162 215, Maryville, IL 62062-8566 6182885711 MARYVILLE PHYSICIANS SERVICES LLC

Organization Information

Organization Legal Name MALENCH AND MALENCH MDS
Physicians 1

Office Location

Street Address 10 PROFESSIONAL PARK DR
City MARYVILLE
State IL
Zip 62062-5672

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Competitor

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City MARYVILLE
Zip Code 62062
Specialty FAMILY PRACTICE
City + Specialty MARYVILLE + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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