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Contact Information

MASUD I MALIK, MD
3865 NORTH MULFORD ROAD
ROCKFORD, IL61114
 Phone: 815-399-2190
 Fax: 815-399-5543
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MASUD I MALIK · (Male)

NPI # 1679580807
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 07/23/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-110588
  • IL Medicaid 036110588
  • IL Other 214298 MEDICARE ID UNSPECIFIED
Hospital affiliation(s)
  • ROCKFORD MEMORIAL HOSPITAL - (Acute Care)
    2400 NORTH ROCKTON AVENUE
    ROCKFORD, IL 61103
  • SAINT ANTHONY MEDICAL CENTER - (Acute Care)
    5666 EAST STATE STREET
    ROCKFORD, IL 61108
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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