Erich D. Mahalko, CFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

238.000417 Issued in IL

Practice address

420 N Il Route 31
Crystal Lake, IL 60012

Phone

(815) 356-5200

Fax

(815) 356-5262

NPI assigned

Apr 3, 2012

Last updated

May 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1407112501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N IL ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123711",
            "telephone_number": "815-356-5200",
            "fax_number": "815-356-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N IL ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60012",
            "telephone_number": "815-356-5200",
            "fax_number": "815-356-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALKO",
        "first_name": "ERICH",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "CFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238.000417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED SURGICAL ASSISTANT LICENSE",
            "identifier": "238.000417",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION AS A SURGICAL TECHNOLOGIST/FIRST ASSISTANT",
            "identifier": "117716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Macdonald, DNP
• Thakshakamani Madamala, MD
• Jamel Madison
• Sheryl K Magee, M.SP.T.
• Lauri Deann Maguire, OTA
• Brooke Maher
• Raeesa Mahmood
• Caitlyn Mahoney, RBT
• Preksha Maiya
• Pamela Anne Maloney

• Surgical Assistant in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.