ROBERT G MALLOY MD NPI 1922092048

NPI Information

Robert G Malloy, MD is an adolescent medicine pediatrics in Grayslake, IL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Robert G Malloy, MD NPI is 1922092048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1170 E BELVIDERE RD
#106 MUNDELEIN PEDIATRICS SC
GRAYSLAKE, IL
ZIP 60030-061
Phone: (847) 548-7337
Fax: (847) 548-9909

The enumeration date for this NPI number is 9/2/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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