NADIR MALLICK (NPI# 1386930428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386930428 |
| Entity Type | Individual |
| Full Name | NADIR MALLICK |
| Credential | MD |
| Practice Address |
20180 S Lagrange Rd Frankfort IL 60423-3153 |
| Mailing Address |
1040 Sierra Dr Suite 400 Greenwood IN 46143-7241 |
| Practice Telephone | 8154642010 |
| Practice Fax Number | 8154642181 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2015-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301099249 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301099249 | MI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | F400183639 | 01 |
| IL | 036136607 | 05 |
| Street Address |
20180 S LAGRANGE RD |
| City | FRANKFORT |
| State | IL |
| Zip Code | 60423-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134179963 | Marshall Edward James Jr. | Family Medicine | 20180 S Lagrange Rd, Frankfort, IL 60423-3153 | 2006-05-11 |
| 1962024612 | Specialty Physicians of Illinois, LLC | Clinic/Center | 20180 S Lagrange Rd, Frankfort, IL 60423-3153 | 2020-05-15 |
| 1194062026 | Franciscan Physician Network | Clinic/Center | 20180 S Lagrange Rd, Frankfort, IL 60423-3153 | 2013-01-11 |
| 1407086515 | Titilayo Colette Abiona | Family Medicine | 20180 S Lagrange Rd, Frankfort, IL 60423 | 2009-07-23 |
| 1598780942 | Michelle B Burns | Family Medicine | 20180 S Lagrange Rd, Frankfort, IL 60423 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
| 1548819295 | Edith Stemmer | Technician | 22921 Toscana Drive, Frankfort, IL 60423 | 2019-09-05 |
| 1063974343 | Kailan Nicole Kathryn Paul | Occupational Therapist | 21000 S. Frankfort Square Road, Suite D, Frankfort, IL 60423 | 2019-04-04 |
| 1568928687 | Sari Leonela Perez | Behavior Technician | 5419 W. 87th St., Oak Lawn, IL 60423 | 2019-02-13 |
| 1992210322 | Personal Solutions Counseling, PC | Counselor | 20855 S. Lagrange Rd, Suite 202, Frankfort, IL 60423 | 2017-12-07 |
| 1255850038 | Abrahim Alramhi | Specialist/Technologist | 7635 West Juniper Ct, Frankfort, IL 60423 | 2017-09-13 |
| 1982120051 | Jakara Lynne Hubbard | Counselor | 20550 S Lagrange Rd Ste 105, Frankfort, IL 60423 | 2017-08-20 |
| 1922558345 | Madison Gaffney | Behavioral Analyst | 2100 S Frankfort Sq Road, Suite D, Frankfort, IL 60423 | 2016-10-10 |
| 1972050094 | Shannon Schaefer | Occupational Therapist | 21000 S. Frankfort Square Rd, Ste D, Frankfort, IL 60423 | 2016-09-07 |
| 1336515949 | Anthony Joseph Vuckovich | Chiropractor | 9645 Lincolnway Ln Ste 112, Frankfort, IL 60423 | 2015-08-18 |
| Find all providers in zip 60423 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1215459664 | Samantha Jain | Family Medicine | 21160 S La Grange Rd, Frankfort, IL 60423-2010 | 2017-07-07 |
| 1437679958 | Unity Healthcare, LLC | Family Medicine | 2002 West County Road 0 N/s, Frankfort, IN 46041 | 2017-06-26 |
| 1477915866 | Lauren Ramsey Ridderikhoff | Family Medicine | 1001 Leawood Dr Ste C, Frankfort, KY 40601-3375 | 2016-03-24 |
| 1841552080 | Alaka Subhash Waikar | Family Medicine | 1010 S Butternut Cir, Frankfort, IL 60423-2125 | 2012-06-13 |
| 1831458850 | Frankfort Urgent Care | Family Medicine | 101 Kings Daughters Dr, Ste B, Frankfort, KY 40601-4197 | 2012-05-11 |
| 1356619530 | Rosario Teano De Castro | Family Medicine | 558 Aberdeen Rd, Frankfort, IL 60423-9715 | 2011-12-02 |
| 1104151943 | Family Medicine Associates of Frankfort Pllc | Family Medicine | 111 Westridge Dr, Suite F, Frankfort, KY 40601-4448 | 2009-10-13 |
| 1487810107 | Zakia Naz | Family Medicine | 1258 Oak St Ste B, Frankfort, IN 46041-3378 | 2008-08-01 |
| 1003080870 | Kc Health Horizons, Inc. | Family Medicine | 8964 Raintree Ln, Frankfort, IL 60423-6606 | 2008-04-14 |
| Find all providers in FRANKFORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.