Mary Abdelmalak, MD
Student in an Organized Health Care Education/Training Program in Rockford, IL. Individual provider (NPI-1).
NPI number1407603517
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1407603517
- Entity type
- Individual (NPI-1)
- Name
- Mary Abdelmalak
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1221 E. State St.Rockford, IL 61104
Phone 815-972-1037 · Fax 815-972-1086
Mailing address
913 N. Main St., Unit 204Rockford, IL 61103
Phone 416-312-5616
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