Manuel a.Malicay MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANUEL A.MALICAY MD SC

Practice address

430 N. Sherwood Road
La Grage Park, IL 60526

Phone

(708) 354-2235

Fax

(708) 354-2235

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Alaban Malicay, MDNPI 1326196411

Title

Owner

Phone

(708) 354-2235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Alaban Malicay, MD

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1326196411
  Medicare reassignment Authorized official
• Margaret Malicay, MD

  • Family Medicine Physician
  • La Grange, IL
  • NPI 1982041745
  Medicare reassignment NPD

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1437379724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N. SHERWOOD ROAD",
            "city": "LA GRAGE PARK",
            "state": "IL",
            "postal_code": "60526",
            "telephone_number": "708-354-2235",
            "fax_number": "708-354-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N. SHERWOOD ROAD",
            "city": "LA GRAGE PARK",
            "state": "IL",
            "postal_code": "60526",
            "telephone_number": "708-354-2235",
            "fax_number": "708-354-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL A.MALICAY MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "MALICAY",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ALABAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-354-2235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.