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

Nadir Mallick, MD

Individual provider Family Medicine Physician · NPI 1386930428

Nadir Mallick, MD is a Family Practice in Frankfort, Illinois. Graduated from Michigan College of Medicine and Surgery in 2014, 12 years ago. Practices with Crystal Lake Immediate Care Physicians Ltd, a 17-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Michigan College of Medicine and Surgery
Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20180 S Lagrange Rd
Frankfort, IL 60423-3153
Phone: (815) 464-2010
Fax: (815) 464-2181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301099249 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301099249 (MI)

Record details

NPI number1386930428
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESApril 17, 2015
Mailing address1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN COLLEGE OF MEDICINE AND SURGERY
Graduated 2014 (12 years in practice)
Group practice Crystal Lake Immediate Care Physicians Ltd. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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