Individual
JULIE ELIZABETH O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
855 W ERIE ST, 123, CHICAGO, IL 60642-8804
(312) 733-7266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006604
IL
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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