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NPI Code Detail

MEDICARE: LEENA MALIK MD

MEDICARE:   LEENA  MALIK  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
1207R00000XInternal Medicine Physician036.171221IL

General Provider Information

NPI Number : 1285263814
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEENA MALIK MD
Provider Business Mailing Address
First Line : PO BOX 746715
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6715
Country : US
Telephone Number : 773-285-9304
Fax Number : 773-564-3501
Provider Business Practice Location Address
First Line : 4318 S STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60609-3701
Country : US
Telephone Number : 773-285-9304
Fax Number : 773-564-3501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2020
Last Update Date : 02/12/2026

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Directions to “ LEENA MALIK MD” Practice Location

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