Scott A Malik, dds
Dentist, General Practice in Glenview, IL. Individual provider (NPI-1).
NPI number1124115993
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124115993
- Entity type
- Individual (NPI-1)
- Name
- Scott A Malik
- Credential
- dds
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- Medicare opt-out
- Feb 16, 2016 to Feb 16, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019.021815 | IL | Yes |
Practice location
1775 Glenview Road#102
Glenview, IL 60025
Phone 847-724-1771 · Fax 847-724-1779
Mailing address
1775 Glenview Road#102
Glenview, IL 60025
Phone 847-724-1771 · Fax 847-724-1779
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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