Mallory King, LMT is a 
Massage Therapist based in Bannockburn, Illinois. Mallory King is licensed to practice in Illinois (license number 227012722) and her current practice location is 
2211 Waukegan Rd, Bannockburn, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(847) 267-8600.
NPI number for Mallory King is 1154690089 and her current mailing address is 2211 Waukegan Rd, Bannockburn, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154690089.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mallory King | 
|---|
| Gender | Female | 
|---|
| Speciality | Massage Therapist | 
|---|
| Location | 2211 Waukegan Rd, Bannockburn, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1154690089
- Provider Enumeration Date: 12/21/2011
- Last Update Date: 12/21/2011
 
		 
		 
Medical Identifiers
		Medical identifiers for Mallory King such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1154690089 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 225700000X | Massage Therapist | 227012722 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory King is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mallory King, LMT 2211 Waukegan Rd,
 Bannockburn, IL 60015-1570
 Ph: (847) 267-8600
 | Mallory King, LMT 2211 Waukegan Rd,
 Bannockburn, IL 60015-1570
 Ph: (847) 267-8600
 | 
		
		 
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