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Contact Information

USHA D MALKERNEKER, MD
17100 DIXIE HWY STE D
HAZEL CREST, IL60429-1485
 Phone: 708-335-1155
 Fax: 708-335-1171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for USHA D MALKERNEKER · (Female)

NPI Number 1568525277
Status Active
Credentials MD
Entity Individual
Enumeration date 12/18/2006
Last updated 05/31/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.057305
  • IL Medicaid 36369473501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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