NPI 1669412433

Jasmine Mathew Maly, MD

Practitioner Anesthesiology Physician Kankakee, IL

Practice location

Address: 400 N Wall St Suite 304, Kankakee, IL 60901-2940
Phone: (815) 929-1388
Fax: (815) 935-7062
Mailing address: PO Box 13749, Philadelphia, PA 19101-3749

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 036101753 (IL)

Other Anesthesiology providers in Illinois →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 01074614A (IN)

Registry record

NPI: 1669412433
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2006
Record last updated: 12 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.