Healthcare Provider Details

I. General information

NPI: 1396058988
Provider Name (Legal Business Name): KAREN LYNN MALONEY MD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 DEAN ST STE 104
ST CHARLES IL
60175-1068
US

IV. Provider business mailing address

317 ILLINOIS ST STE A
ST CHARLES IL
60174-2704
US

V. Phone/Fax

Practice location:
  • Phone: 630-523-4747
  • Fax: 630-584-9333
Mailing address:
  • Phone: 630-523-4747
  • Fax: 630-584-9333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number036071349
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN L MALONEY
Title or Position: OWNER
Credential:
Phone: 630-523-4747