Search › Illinois › 207R00000X
Bruce Malm, MD
NPI 1477605087 · on the registry since 2007
Practice
- Address
- 17148 Harlem Ave
Tinley Park, IL 60477 - Phone
- (708) 429-1200
- Fax
- (708) 429-4845
- Organisation at this address
- Tinley Primary Care, Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
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
- 2022-06-17
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