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Contact Information

ERICH D MAHALKO, CFA
420 N IL ROUTE 31
CRYSTAL LAKE, IL60012
 Phone: 815-356-5200
 Fax: 815-356-5262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for ERICH D MAHALKO · (Male)

NPI # 1407112501
Status Active
Credentials CFA
Entity Individual
Enumeration date 04/03/2012
Last updated 05/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 238.000417
  • Other 117716 NATIONAL CERTIFICATION AS A SURGICAL TECHNOLOGIST/FIRST ASSISTANT
  • IL Other 238.000417 REGISTERED SURGICAL ASSISTANT LICENSE
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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