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Individual

MRS. ANN M. O'MALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., C.H.T.P.

Contact information

Practice address
202 W WILLOW AVE, SUITE 101, WHEATON, IL 60187-5263
(630) 674-8040
Mailing address
359 N ADDISON RD, VILLA PARK, IL 60181-1950
(630) 279-5153
(630) 873-5644

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
IL

Other

Enumeration date
12/21/2006
Last updated
07/08/2007
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