O'Malley, Debra J.
O'Malley, Debra J. is an individual health care provider with primary practice located at 675 W North Ave Suite 512, Melrose Park IL 60160-1634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. O'Malley, Debra J. can be contacted via phone (708) 681-7643.Contact Information
Primary practice address
675 W North Ave Suite 512
Melrose Park IL 60160-1634
Phone: (708) 681-7643
Fax: (708) 681-7860
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207VC0200X | 036103645 | Illinois |
Profile Details
NPI number | 1760458483 |
---|---|
LBN Legal business name | O'Malley, Debra J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2006 |
Last updated | Aug 31st, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760458483 | NPPES |
Illinois | MEDICAID | 0361036451 | |
Illinois | Other | P00312563 | |
Illinois | Other | 0001636283 |
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