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

Peter Malaker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760232151

Peter Malaker is a Student in an Organized Health Care Education/Training Program in Dixon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

102 S Hennepin Ave
Dixon, IL 61021-3013
Phone: (815) 285-8520
Fax: (815) 285-8903
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125084948 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760232151
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address102 S Hennepin Ave, Dixon, IL 61021-3013

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