Provider Demographics
NPI:1528089083
Name:MALVAR, THOMAS C (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:MALVAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3000 N HALSTED STREET
Mailing Address - Street 2:STE 611
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5196
Mailing Address - Country:US
Mailing Address - Phone:773-868-1800
Mailing Address - Fax:773-698-7216
Practice Address - Street 1:3000 N HALSTED STREET
Practice Address - Street 2:STE 611
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5196
Practice Address - Country:US
Practice Address - Phone:773-868-1800
Practice Address - Fax:773-698-7216
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2025-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036046237208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC41962Medicare UPIN
IL475950Medicare PIN