Doctor Name: | LINDSEY TERRELL MALONE |
NPI Number: | 1134361454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036130364 |
Business Practice Address: | 545 Plainfield Rd Suite C Willowbrook, IL - 605277600 |
Business Phone Number: | 6306542229 |
Business Fax Number: | 6306553270 |
Mailing Address: | 545 Plainfield Rd Ste C, # 3 WILLOWBROOK |
State: | IL |
Postal Code: | 605277601 |
Phone Number: | 6306542229 |
Fax Number: | 6306553270 |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 05/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 036130364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |