| Dr Saleha Mallick, MD | |
|
2650 Ridge Ave, Evanston, IL 60201-1700 | |
| (847) 570-1027 | |
| (847) 733-5108 |
| Full Name | Dr Saleha Mallick |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2650 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427542307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036155638 (Illinois) | Primary |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Saleha Mallick, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Dr Saleha Mallick, MD 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-1027 |
Leslie S. Finkel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Central St Ste 800, Evanston, IL 60201 Phone: 847-570-2577 Fax: 847-733-5424 | |
Dr. Rosita Stephen Pildes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1319 Ridge Ave, Evanston, IL 60201 Phone: 847-491-9742 Fax: 847-491-9740 | |
Dr. Sadie Anne Laponsie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Susan Amy Roth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St, Suite 765, Evanston, IL 60201 Phone: 847-570-1507 Fax: 847-570-1577 | |
Ana Claudia Taddei, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2530 Fax: 847-570-0231 | |
Julie Shields Holland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St, Suite 765, Evanston, IL 60201 Phone: 847-570-1507 Fax: 847-570-1577 | |
Dr. Najah Senno Musacchio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Dodge Ave Rm H-101, Evanston, IL 60201 Phone: 847-424-7265 Fax: 847-492-5809 |