Healthcare Provider Details

I. General information

NPI: 1174445068
Provider Name (Legal Business Name): MALAK ZAIDAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17W240 22ND ST STE 308
OAKBROOK TERRACE IL
60181-4722
US

IV. Provider business mailing address

880 BENEDETTI DR APT 206
NAPERVILLE IL
60563-8925
US

V. Phone/Fax

Practice location:
  • Phone: 773-609-0361
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149031183
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: