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Export Provider Record NPI 1104037993
Tariq Malik
Active
NPI Number1104037993
NPI TypeNPI-1 Individual
SpecialtyAnesthesiology
Provider Details
NPI1104037993
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-05-24
Last Updated2025-09-12
Mailing Address150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919
United States
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Primary Practice Address5841 S Maryland Ave
Chicago, IL 60637-1443
United States
Phone: (888) 824-0200
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207L00000X – AnesthesiologyIL036103185
No208VP0014X – Pain Medicine, Interventional Pain MedicineIL036103185
No207LP2900X – Anesthesiology, Pain MedicineIL036103185
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About NPI 1104037993

Tariq Malik is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104037993. The primary specialty listed is Anesthesiology. The provider is located in Chicago, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104037993?

NPI 1104037993 belongs to Tariq Malik, a Anesthesiology in Chicago, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104037993 active?

The current status of NPI 1104037993 in the NPPES registry is Active. The record was last updated on 2025-09-12.

What specialty is NPI 1104037993?

NPI 1104037993 is classified under the taxonomy Anesthesiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104037993?

You can verify NPI 1104037993 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104037993?

The primary practice address on file for NPI 1104037993 is 5841 S Maryland Ave, Chicago, IL 60637-1443. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104037993 issued?

NPI 1104037993 was first issued (enumerated) on 2007-05-24. The NPPES record was last updated on 2025-09-12.

Practice Location Map

Tariq Malik is located at 5841 S Maryland Ave, Chicago, IL. Use the map below to find directions or verify the practice location.

📍 5841 S Maryland Ave, Chicago, IL 60637-1443  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Tariq Malik. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104037993. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Anesthesiology036103185IL
Pain Medicine, Interventional Pain Medicine036103185IL
Anesthesiology, Pain Medicine036103185IL
Data Verified from CMS NPPES Last synced: 2026-06-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162