Individual
DEBRA J. O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 W NORTH AVE, SUITE 512, MELROSE PARK, IL 60160-1634
(708) 681-7643
(708) 681-7860
Mailing address
6803 KINGERY HWY, WILLOWBROOK, IL 60527-5154
(630) 323-0430
Taxonomy
Speciality
Code
Description
License number
State
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
Primary
036103645
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636283
BCBS
IL
05
—
0361036451
—
IL
01
—
P00312563
RAILROAD MEDICARE
IL
Enumeration date
02/23/2006
Last updated
08/31/2015
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