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
Fax: (708) 681-7860
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760458483 NPPES
Illinois MEDICAID 0361036451
Illinois Other P00312563
Illinois Other 0001636283

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