Search › Illinois › 207R00000X
Anto Maliakkal, M.D. H.M.D.C
NPI 1558376368 · on the registry since 2006
Practice
- Address
- 8s165 S Vine St
Burr Ridge, IL 60527 - Phone
- (630) 835-7613
- Organisation at this address
- Vivacious Group Inc.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 66 Mesquite, Trabuco Canyon, CA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
207R00000X
207RH0002X
207RH0002X
207RH0002X - Licence states on file
- CA, IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-31
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