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NPI Code Detail

MEDICARE: MALCOLM C HILL MD

MEDICARE: MALCOLM C HILL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician036064265IL

General Provider Information

NPI Number : 1043235112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALCOLM C HILL MD
Provider Business Mailing Address
First Line : 611 W. PARK ST.
Second Line : BWPC
City : URBANA
State : IL
Zip : 61801-2500
Country : US
Telephone Number : 217-383-6792
Fax Number :
Provider Business Practice Location Address
First Line : 1818 E WINDSOR RD
Second Line :
City : URBANA
State : IL
Zip : 61802-9566
Country : US
Telephone Number : 217-255-9700
Fax Number : 217-255-9650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/03/2016

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