Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Malik Jordan-Deane Scott

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942155536

Mr. Malik Jordan-Deane Scott is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

5758 S Maryland Ave Dept 4B
Chicago, IL 60637-1426
Phone: (478) 461-0931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1942155536
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2026
Last updated in NPPESFebruary 28, 2026
Certification dateFebruary 28, 2026

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