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Bernard Edward O'malley, MD
Family Medicine Physician in Poplar Grove, Illinois
NPI 1164451456

Bernard Edward O'malley is a Family Medicine Physician based in Poplar Grove, IL. Bernard Edward O'malley practices in Poplar Grove, IL and has the professional credentials of MD. The NPI Number for Bernard Edward O'malley is 1164451456 and holds a License No. 036047509 (Illinois).

The current practice location address for Bernard Edward O'malley is 13539 Il Route 76, Poplar Grove, IL and can be reached out via phone at 815-765-0147 and via fax at 815-765-0427.

Location: 13539 Il Route 76, Poplar Grove, IL, 61065-8815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164451456
Provider Name
Bernard Edward O'malley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13539 Il Route 76, Poplar Grove, IL, 61065-8815
Phone Number
815-765-0147
Fax Number
815-765-0427
Provider Enumeration Date
07/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036047509 05 IL
553180 01 IL MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
13539 Il Route 76
City
Poplar Grove
State
Illinois
Zip
61065-8815
Phone Number
815-765-0147
Fax Number
815-765-0427
person
Provider Business Mailing Address Details
Address
13539 Il Route 76
City
Poplar Grove
State
Illinois
Zip
61065-8815
Phone Number
815-765-0147
Fax Number
815-765-0427
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036047509 (Illinois)
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 is not limited by age, sex, organ system, or disease entity.
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