Nadir Mallick
CRYSTAL LAKE IMMEDIATE CARE PHYSICIANS LTD.


Address: 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Phone: 8154798020

Nadir Mallick (NPI# 1386930428, PAC ID# 0941432579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1386930428
PAC ID by PECOS 0941432579
Professional Enrollment ID I20141231002067
Full Name Nadir Mallick
Organization Legal Name CRYSTAL LAKE IMMEDIATE CARE PHYSICIANS LTD.
Address 525 E Congress Pkwy
Suite 100
Crystal Lake
IL 60014-6271
Phone Number 8154798020
Gender M
Medical School MICHIGAN COLLEGE OF MEDICINE AND SURGERY
Graduation Year 2014
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2961783139
Number of Group Practice Members 16
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140291 ADVOCATE GOOD SHEPHERD HOSPITAL

Other Locations

Address Phone Organization
525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271 8154798020 CRYSTAL LAKE IMMEDIATE CARE PHYSICIANS LTD.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 50%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85%

Organization Information

Organization Legal Name CRYSTAL LAKE IMMEDIATE CARE PHYSICIANS LTD.
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Makiko Ogino Mcelligott Physician Assistant Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Jennifer Nieves Nurse Practitioner Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Tejal R Modi Physician Assistant Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Rahul R Modi Internal Medicine Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Fahad Karim Mustafa Family Medicine Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Nancy Maria Mule Physician Assistant Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Crystal Lake, IL 60014-6271

Office Location

Street Address 525 E CONGRESS PKWY
SUITE 100
City CRYSTAL LAKE
State IL
Zip 60014-6271

Physicians in the same location

Name Specialty Organization Address
Jill M Behm Nurse Practitioner Advocate Health and Hospitals Corporation 525 E Congress Pkwy, Crystal Lake, IL 60014-6258
Makiko Ogino Mcelligott Physician Assistant Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Julie R Favia Obstetrics/gynecology Advocate Health and Hospitals Corporation 525 E Congress Pkwy, Crystal Lake, IL 60014-6258
Anthony Weston Family Medicine Advocate Health and Hospitals Corporation 525 E Congress Pkwy, Crystal Lake, IL 60014-6258
Guy Steinberg Obstetrics/gynecology Advocate Health and Hospitals Corporation 525 E Congress Pkwy, Crystal Lake, IL 60014-6258
Suwan Mehra Obstetrics/gynecology Advocate Health and Hospitals Corporation 525 E Congress Pkwy, Crystal Lake, IL 60014-6258
Jennifer Nieves Nurse Practitioner Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Tejal R Modi Physician Assistant Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Rahul R Modi Internal Medicine Crystal Lake Immediate Care Physicians Ltd. 525 E Congress Pkwy, Suite 100, Crystal Lake, IL 60014-6271
Carol A Kotzan Internal Medicine 525 E Congress Pkwy, Suite 250, Crystal Lake, IL 60014-6258
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Physicians in the same zip code

Name Specialty Organization Address
Michael Socha Chiropractic 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074
Mark D Lagerkvist Chiropractic Chiro One Wellness Center of Crystal Lake Sc 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074
Michael T Burns Psychologist, Clinical 610 Crystal Point Dr, Suite 3, Crystal Lake, IL 60014-1400
Kenneth E Heinrichs Psychologist, Clinical 755 E Mcardle Dr, Suite E, Crystal Lake, IL 60014-1717
Katherine A Galias Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Susan G Swanson Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Christy A Benton Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Roseann C Iverson Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Cynthia G Macdonald Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Michael S Lesser Family Medicine Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Find all physicians in zip 60014

Competitor

Search similar physicians

City CRYSTAL LAKE
Zip Code 60014
Specialty FAMILY MEDICINE
City + Specialty CRYSTAL LAKE + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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