Individual ProviderMaria Dhoreen MalalisRegistered NurseNursing Service ProvidersPractice Address4740 N Clark St, Chicago, IL 60640-4689(773) 769-0205PECOS EnrollmentBased on the most recent information from CMS, provider Maria Dhoreen Malalis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1497140859Provider TypeIndividualFull NameMalalis, Maria DhoreenCredentialRN, BSNGenderFemaleSole ProprietorYesEnumeration Date4/2/2015Last Updated4/2/2015Contact InformationPractice LocationPractice Address4740 N Clark St, Chicago, IL 60640-4689Phone(773) 769-0205FaxUnlisted FaxMailing LocationMailing Address4740 N Clark St, Chicago, IL 60640-4689Phone(773) 769-0205FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense041400722IllinoisCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense747445California