Usha D Malkerneker, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

036.057305 Issued in IL

Practice address

17100 Dixie Hwy Ste D
Hazel Crest, IL 60429-1485

Phone

(708) 335-1155

Fax

(708) 335-1171

NPI assigned

Dec 18, 2006

Last updated

May 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Recovery Concepts LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hazel Crest, IL
  • NPI 1942744453
  NPD
• Recovery Concepts Urbana, LLC

  • Methadone Clinic
  • Urbana, IL
  • NPI 1922617133
  NPD
• Recovery Concepts III, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1497427223
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1568525277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 DIXIE HWY STE D",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291485",
            "telephone_number": "708-335-1155",
            "fax_number": "708-335-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 DIXIE HWY STE D",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291485",
            "telephone_number": "708-335-1155",
            "fax_number": "708-335-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKERNEKER",
        "first_name": "USHA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IL",
            "license": "036.057305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36369473501",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M Lukanich, CNM/WHNP
• Diana Maberry
• Gladys Macagba, D.O
• Aaron James Magana, DO
• Robin Major, FNP-BC
• Management Services Team Inc. (South Suburban Behavioral Center)
• Marie A Mance, RN
• Manna for Life Services, LLC
• Volodimir Z Markiv, MD
• Martin R Hall MD. SC.

• Addiction Medicine (Psychiatry & Neurology) Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.