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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC MICHAEL MALLETT, MD

Active

ERIC MICHAEL MALLETT, MD is a Family Medicine healthcare provider located in SOUTH ELGIN, Illinois. NPI 1528265816 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SOUTH ELGIN, IL

Registration Details

NPI Number
1528265816
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2007 (19.115880081035 yrs)
Last Updated
Aug 29, 2024
Licenses
036.125880 (IL)
01094571A (IN)
4301090660 (MI)
036.125880 (IL)

Practice Information

Address
486 RANDALL RD UNIT B
SOUTH ELGIN, IL, 601773354
Browse IL providers · Browse ZIP 60177
Phone
2247835000
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in SOUTH ELGIN, IL

Name Credential NPI
DR. CLARK A. ZEDDIES M.D. 1083614432
DR. MICHAEL F CANNONIE D.O. 1720092273
JOHN JOSEPH LANCILOTI MD 1639283385
MATTHEW J BRANDON M.D. 1356414049
YONG KANG MD 1386764884
RUCHI PARIKH MD 1689992885
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.