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Search › Illinois › 207R00000X

Manuel Malicay, MD

NPI 1326196411 · on the registry since 2007 · sole proprietor

Practice

Address
402 W Boughton Rd
F
Bolingbrook, IL 60440
Phone
(630) 759-3782
Fax
(630) 759-1276
Organisation at this address
Bridgewell Llc
Blair Tanaka, Inc.
Bolingbrook Pharmacy Inc
Boughton Family Practice Pc
Complete Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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