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Contact Information

TERRI L OMALLEY, J.D., M.D.
5615 IRISH LANE
HARVARD, IL60033
 Phone: 815-245-1502
 Fax: 815-943-2848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TERRI L OMALLEY · (Female)

NPI # 1972584423
Status Active
Credentials J.D., M.D.
Entity Individual
Enumeration date 11/10/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036 095762
  • IL Medicaid 036 095762
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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