Individual
TIFFANY M. O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
459 W CAMBRIA DR, ROUND LAKE, IL 60073-3213
(847) 740-0971
(847) 740-0971
Mailing address
459 W CAMBRIA DR, ROUND LAKE, IL 60073-3213
(847) 740-0971
(847) 740-0971
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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