| Fareha N. Malik, M.d. Llc | |
|
3865 N. Mulford Rd. Rockford IL 61114-5603 | |
| (815) 399-2190 | |
| (815) 399-5543 |
| Full Name | Fareha N. Malik, M.d. Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3865 N. Mulford Rd., Rockford, Illinois |
| Authorized Official Name and Position | Fareha N. Malik (OWNER) |
| Authorized Official Contact | 8153992190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fareha N. Malik, M.d. Llc 3865 N. Mulford Rd. Rockford IL 61114-5603 Ph: (815) 399-2190 | Fareha N. Malik, M.d. Llc 3865 N. Mulford Rd. Rockford IL 61114-5603 Ph: (815) 399-2190 |
| NPI Number | 1528195013 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 03/25/2008 |
| Medicare PECOS PAC ID | 5193863587 |
|---|---|
| Medicare Enrollment ID | O20091104000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528195013 | NPI | - | NPPES |
| I21229 | Other | IL | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (Illinois) | Primary |
| Provider Name | Fareha N Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780692038 PECOS PAC ID: 3779547955 Enrollment ID: I20041117000505 |
| Provider Name | Abrar M Arshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336211457 PECOS PAC ID: 9032332952 Enrollment ID: I20140522000696 |
| Provider Name | Kathleen Kronn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689922502 PECOS PAC ID: 3779809660 Enrollment ID: I20150312001145 |
| Provider Name | Angela K Astleford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124486790 PECOS PAC ID: 8224334511 Enrollment ID: I20160314000165 |
| Provider Name | Elizabeth A Vinik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558705343 PECOS PAC ID: 8022365519 Enrollment ID: I20180713002550 |
| Provider Name | John Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649762352 PECOS PAC ID: 2264783778 Enrollment ID: I20180922000056 |
| Provider Name | Ana G Estrada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710363346 PECOS PAC ID: 6608113931 Enrollment ID: I20190124002913 |
| Provider Name | Amy L Chodorowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821688417 PECOS PAC ID: 2062820368 Enrollment ID: I20210427001399 |
| Provider Name | Nicholas Paul Fisher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215387006 PECOS PAC ID: 0648558783 Enrollment ID: I20210622003643 |
| Provider Name | Shelby Bieneman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194143743 PECOS PAC ID: 4880098003 Enrollment ID: I20210811000172 |
| Provider Name | Alexandria Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609546696 PECOS PAC ID: 9931507258 Enrollment ID: I20211018000414 |
| Provider Name | Laura Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366159394 PECOS PAC ID: 8729452578 Enrollment ID: I20230320000612 |
| Provider Name | Kevin Smerko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255814620 PECOS PAC ID: 7012357932 Enrollment ID: I20240425002157 |
| Provider Name | Paul Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700156171 PECOS PAC ID: 9032550454 Enrollment ID: I20240515003375 |
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