Naveed K. Mallick MD PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

036.101915 Issued in IL

Legal business name

NAVEED K. MALLICK MD PC

Doing business as

Chicago Center for Adult Medicine
IC Medical Group

Practice address

2525 S Michigan Ave
Chicago, IL 60616-2315

Phone

(810) 275-9333

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Naveed K. Mallick, M.D.

Title

Physician

Phone

(773) 321-0200

Specialties & licenses 3

Addresses

Other names 2

• Chicago Center for Adult Medicine Doing business as
• IC Medical Group Doing business as

Locations

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1336472851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 E 56TH ST",
            "address_2": "SUITE 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371952",
            "telephone_number": "773-321-0200",
            "fax_number": "877-863-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162315",
            "telephone_number": "810-275-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1642 E 56th St",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60637",
            "country_code": "US",
            "telephone_number": "773-321-0200",
            "fax_number": "877-863-7393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAVEED K. MALLICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "MALLICK",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-321-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-101915",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036-101915",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "036.101915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Center for Adult Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chicago Center for Adult Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IC Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Bautista Navarro Jr.
• Nathan Tan Navarro, MD
• Tagumpay E Navarro, PA
• Kenneth Sesley Nave, MD
• Bilal Naved
• Hamza Naveed, MD
• Hana Naveed, DC
• Naveen Naveed, MD
• Navi Counseling PLLC
• Carol Navia

• Multi-Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.