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Contact Information

MICHELLE O MALIWAT, DPT
9375 W CHURCH ST
DES PLAINES, IL60016-4271
 Phone: 847-824-5165
 Fax: 847-824-8038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MICHELLE O MALIWAT · (Male)

NPI # 1013100478
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 08/20/2007
Last updated 08/20/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL Medicaid 362169147-60635-01
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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