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Contact Information

DEBRA J OMALLEY, MD
675 W NORTH AVE
SUITE 512
MELROSE PARK, IL60160-1634
 Phone: 708-681-7643
 Fax: 708-681-7860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207VC0200X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DEBRA J OMALLEY · (Female)

NPI # 1760458483
Status Active
Credentials MD
Entity Individual
Enumeration date 02/23/2006
Last updated 08/31/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036103645
  • IL Medicaid 0361036451
  • IL Other 0001636283 BCBS
  • IL Other P00312563 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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