Individual
DR. TERRI LYNNE O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D., M.D.
Contact information
Practice address
5615 IRISH LANE, HARVARD, IL 60033
(815) 245-1502
(815) 943-2848
Mailing address
5615 IRISH LANE, HARVARD, IL 60033
(815) 245-1502
(815) 943-2848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036 095762
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036 095762
—
IL
Enumeration date
11/10/2005
Last updated
07/21/2022
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