Michael Omalley O.D

NPI 1497942726 - Optometrist - 152W00000X

NPI Details
NPI 1497942726
Gender Male
Enumeration Date 10/01/2007
Last Updated 10/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5159 W FULLERTON AVE
CHICAGO IL, 60639-2403, US
Phone (773) 208-4125
Fax
Business Location
5159 W FULLERTON AVE
CHICAGO IL, 60639-2403, US
Phone (773) 208-4125
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 8358
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According to our database, Dr. Michael Omalley O.D NPI is 1497942726, taxonomy code is 152W00000X and license number is 8358, license state is located at Illinois. Michael Omalley O.D physically located at 5159 W Fullerton Ave, Chicago IL, 60639-2403. NPI Number Michael Omalley O.D has the Individual type.

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1497942726 NPI number is provided on an as is basis without warranty of any kind. 1497942726 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Omalley O.D are for informational purposes only.