Search › Illinois › 207R00000X
Gautam Malik, M.D
NPI 1285892455 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3043 N Wilton Ave
2nd Floor
Chicago, IL 60657 - Phone
- (773) 296-5424
- Fax
- (773) 296-5280
Additional practice sites
- 20201 Crawford Ave, Olympia Fields, IL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
207R00000X - Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois