MEDICARE: NAMIRAH MALIK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1689529125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAMIRAH MALIK

Provider Business Mailing Address
First Line	:	330 TUTTLE DR
Second Line	:
City	:	BLOOMINGDALE
State	:	IL
Zip	:	60108-8802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 W HIGGINS RD STE 4070
Second Line	:
City	:	SOUTH BARRINGTON
State	:	IL
Zip	:	60010-9123
Country	:	US
Telephone Number	:	630-965-1232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ NAMIRAH MALIK ” Practice Location

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