Search › Illinois › 222Q00000X
Telice Mallory
NPI 1487906863 · on the registry since 2012 · sole proprietor
Practice
- Address
- 7218 S Francisco Ave
Chicago, IL 60629 - Phone
- (773) 507-6713
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2012-10-09
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