Individual
MRS. ANNE M. O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-1209
(708) 684-4485
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-1209
(708) 684-4485
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K25801
PROVIDER NUMBER
IL
Enumeration date
07/06/2006
Last updated
09/07/2023
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