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Mallory Namoff
NPI 1538931571 · on the registry since 2023
Practice
- Address
- 11594 Richmond Ln
Huntley, IL 60142 - Phone
- (217) 979-3591
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-24
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