Kathleen H Maloul MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036078007 Issued in IL

Legal business name

KATHLEEN H MALOUL MD PC

Practice address

3414 W Peterson Ave
Suite D
Chicago, IL 60659-3452

Phone

(773) 267-0422

NPI assigned

Apr 8, 2009

Last updated

Apr 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Maloul, M.D.

Title

President

Phone

(773) 267-0422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1407099310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 W PETERSON AVE",
            "address_2": "SUITE D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593452",
            "telephone_number": "773-267-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W PETERSON AVE",
            "address_2": "SUITE D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593452",
            "telephone_number": "773-267-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN H MALOUL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "MALOUL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-267-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036078007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine D Johnson, LCSW, PLLC
• Katherine Nimrod Counseling LLC
• Katherine Rack Wellness PLLC
• Katherine Uphoff, PH.D. S.C.
• Kathleen Casper, D.O., P.C.
• Kathleen Lee (Calumet Hearing Service)
• Kathleen M Scarpulla, MD, SC
• Kathleen McCabe, LCPC, PLLC
• Kathleen Pendergast LLC (Kathleen Pendergast Therapy)
• Kathleen Pendergast LLC (Kathleen Pendergast Therapy)

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.