IndividualActive
Mallak Ahmad, DMD
NPI 1598652075 · Dentist · Palos Heights, IL
Mallak Ahmad, DMD is a Dentist provider in Palos Heights, IL (NPI 1598652075).
Provider details
- NPI number
- 1598652075
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 019.036123 (IL)
Practice location
402 Shadow Creek Dr
Palos Heights, IL 60463-2912
Phone: (708) 590-9868
Street-level locationGet directions
Mailing address
402 Shadow Creek Dr
Palos Heights, IL 60463-2912
Registry dates
- Enumerated
- 2025-06-18
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.