Organization Active NPI

Michel H. Malek, MD SC

  • Neurological Surgery Physician
  • Kankakee, IL
National Provider Identifier
1194035360
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036079256 Issued in IL
Legal business name
MICHEL H. MALEK, MD SC
Practice address
555 W Court St
Suite 412
Kankakee, IL 60901-3664
Phone
(815) 936-3204
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michel H. Malek, M.D.
Title
Physician/Surgeon
Phone
(815) 936-3204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 036079256 IL Primary

Addresses

Primary practice location

555 W Court St
Suite 412
Kankakee, IL 60901-3664

Mailing address

555 W Court St
Suite 412
Kankakee, IL 60901-3664
Phone (815) 936-3204

National Provider Directory

National Provider Directory

Locations

2955 N Central Ave
Ste B
Chicago, IL 60634
Phone (773) 481-9753

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1194035360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W COURT ST",
            "address_2": "SUITE 412",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013664",
            "telephone_number": "815-936-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W COURT ST",
            "address_2": "SUITE 412",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013664",
            "telephone_number": "815-936-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL H. MALEK, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN/SURGEON",
        "authorized_official_telephone_number": "815-936-3204",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036079256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.