MEDICARE: GABRIELLE MALEC

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
1	222Q00000X	Developmental Therapist		IL

General Provider Information

NPI Number	:	1730037391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE MALEC

Provider Business Mailing Address
First Line	:	716 BIRCHWOOD RD
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-1032
Country	:	US
Telephone Number	:	312-802-4506
Fax Number	:

Provider Business Practice Location Address
First Line	:	716 BIRCHWOOD RD
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-1032
Country	:	US
Telephone Number	:	312-802-4506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “ GABRIELLE MALEC ” Practice Location

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