Individual
KEVIN O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 733-0883
Mailing address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 733-0883
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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