Individual Healthcare Provider
Eric Michael Mallett, MD
Provider's NPPES record last updated: August 29, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1528265816
- Primary Specialty
- Family Medicine
- Practice Location
- South Elgin, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:09 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X Emergency Medicine
Allopathic & Osteopathic Physicians
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Taxonomy code 207P00000X
Provider-Reported License Information
- Family Medicine (Illinois)
- 036.125880
- Emergency Medicine (Illinois)
- 036.125880
- Family Medicine (Indiana)
- 01094571A
- Family Medicine (Michigan)
- 4301090660
Practice Locations
Practice Location
486 Randall Rd Unit B
South Elgin, Illinois 60177-3354
Phone: (224) 783-5000
Additional Practice Location
16001 W 9 Mile Rd
Southfield, Michigan 48075
Phone: (248) 849-3000
Additional Practice Location
10240 Calumet Ave
Munster, Indiana 46321-2880
Phone: (219) 703-2420
Fax: (219) 703-6765
Additional Practice Location
9660 Wicker Ave
Saint John, Indiana 46373-9487
Phone: (219) 365-1177
Fax: (219) 703-6662
Additional Practice Location
1451 W Morthland Dr
Ste D
Valparaiso, Indiana 46385-6262
Phone: (219) 286-3880
Fax: (219) 286-3881
Additional Practice Location
10215 Broadway Fl 1
Crown Point, Indiana 46307-8001
Phone: (219) 661-6098
Fax: (219) 703-6812
Record Information
- Enumeration Date
- June 29, 2007
- Provider's NPPES Record Last Updated
- August 29, 2024
- Certification Date
- August 29, 2024
- NPISignal NPPES Dataset
- August 2026
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