Provider Demographics
NPI:1679860605
Name:MALCZEWSKI, RUBINDER KAUR (MD)
Entity Type:Individual
Prefix:
First Name:RUBINDER
Middle Name:KAUR
Last Name:MALCZEWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1017 W GLEN OAKS LN STE 203
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3376
Mailing Address - Country:US
Mailing Address - Phone:262-420-4008
Mailing Address - Fax:262-236-9190
Practice Address - Street 1:2020 OGDEN AVE
Practice Address - Street 2:SUITE 325
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5894
Practice Address - Country:US
Practice Address - Phone:630-978-4850
Practice Address - Fax:630-978-6865
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.060545207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine