Healthcare Provider Details

I. General information

NPI: 1598705766
Provider Name (Legal Business Name): MONICA MALEC M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 ELISHA AVENUE
ZION IL
60099
US

IV. Provider business mailing address

2361 PAYSPHERE CIRCLE
CHICAGO IL
60067
US

V. Phone/Fax

Practice location:
  • Phone: 800-322-9183
  • Fax:
Mailing address:
  • Phone: 800-322-9183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number036090849
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: