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

Sophia Malik

Individual provider Acute Care Nurse Practitioner · NPI 1902584279

Sophia Malik is a Nurse Practitioner in Maywood, Illinois. Qualified in 2021, 5 years ago. Practices with Loyola University Medical Center, a 946-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (888) 584-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209027254 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 209.027254 (IL)

Record details

NPI number1902584279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address328 E Palmer Ave, Addison, IL 60101-4027

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Maywood