| Manuel A.malicay Md Sc | |
|
430 N. Sherwood Road La Grage Park IL 60526 | |
| (708) 354-2235 | |
| (708) 354-2235 |
| Full Name | Manuel A.malicay Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 430 N. Sherwood Road, La Grage Park, Illinois |
| Authorized Official Name and Position | Manuel Alaban Malicay (OWNER) |
| Authorized Official Contact | 7083542235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel A.malicay Md Sc 430 N. Sherwood Road La Grage Park IL 60526 Ph: (708) 354-2235 | Manuel A.malicay Md Sc 430 N. Sherwood Road La Grage Park IL 60526 Ph: (708) 354-2235 |
| NPI Number | 1437379724 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 06/03/2013 |
| Medicare PECOS PAC ID | 6406952431 |
|---|---|
| Medicare Enrollment ID | O20070508000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437379724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manuel A Malicay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326196411 PECOS PAC ID: 9032215066 Enrollment ID: I20070508000101 |
| Provider Name | Margaret Manzano Malicay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982041745 PECOS PAC ID: 5395986301 Enrollment ID: I20201118002698 |