Healthcare Provider Details
I. General information
NPI: 1851226310
Provider Name (Legal Business Name): KAYE MARIE MALONEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3232 S KING DR
CHICAGO IL
60616-3924
US
IV. Provider business mailing address
3232 S KING DR
CHICAGO IL
60616-3924
US
V. Phone/Fax
- Phone: 312-427-6000
- Fax:
- Phone: 312-427-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | 209.035168 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: