Healthcare Provider Details

I. General information

NPI: 1912918186
Provider Name (Legal Business Name): KAREN L MALONEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
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

4411 BEE RIDGE RD # 309
SARASOTA FL
34233-2514
US

V. Phone/Fax

Practice location:
  • Phone: 630-523-4747
  • Fax: 630-584-9333
Mailing address:
  • Phone: 954-932-4044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number361-320
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number36.071349
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME123995
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: