Bernard Edward O'Malley in Poplar Grove - Family Medicine
Bernard Edward O'Malley - NPI 1164451456
Bernard Edward O'Malley is a Family Medicine in Poplar Grove, Illinois. Bernard Edward O'Malley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bernard Edward O'Malley is 1164451456. The last update date is 2009-05-20.
Bernard Edward O'Malley's current location address is 13539 Il Route 76, Poplar Grove, Illinois. You can contact this provider via phone number 8157650147 and fax number 8157650427. The mailing address for Bernard Edward O'Malley is 13539 Il Route 76, Poplar Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernard Edward O'Malley |
|---|---|
| Address | 13539 Il Route 76, Poplar Grove, Illinois |
| Phone Number | 8157650147 |
| Fax Number | 8157650427 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164451456 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2009-05-20 |
Provider Mailing Address Detail
| Address | 13539 Il Route 76 |
|---|---|
| City | Poplar Grove |
| State | Illinois (IL) |
| Post Code | 610658815 |
| Phone Number | 8157650147 |
| Fax Number | 8157650427 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36047509 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36047509 | IL | -- | |
| 553180 | IL | MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Bernard Edward O'Malley by the Centers for Medicare & Medicaid Services?
The Bernard Edward O'Malley has been issued the NPI (National Provider Identifier) 1164451456. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bernard Edward O'Malley is physically located?
The Bernard Edward O'Malley is physically situated at the following address: 13539 Il Route 76, Poplar Grove, IL, 610658815.
What is Bernard Edward O'Malley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bernard Edward O'Malley's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Bernard Edward O'Malley receive the assignment of its 1164451456 from the Centers for Medicare & Medicaid Services?
The Bernard Edward O'Malley was issued its 1164451456 by the Centers for Medicare & Medicaid Services on 2006-07-01.
When was the information related to Bernard Edward O'Malley most recently updated or refreshed?
The details pertaining to the Bernard Edward O'Malley, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-05-20.
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