KEVIN O'MALLEY (NPI# 1023474806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023474806 |
| Entity Type | Individual |
| Full Name | KEVIN O'MALLEY |
| Credential | B.A. |
| Practice Address |
310 N Loomis St Chicago IL 60607-1147 |
| Practice Telephone | 3127330883 |
| Mailing Telephone | 3127330883 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437597986 | Kevin Michael O'malley | Driver | 101 E. 66th St., Savannah, GA 31405 | 2013-06-06 |
| 1841276987 | Kevin Charles O'malley | Emergency Medicine | Usnh Okinawa, Psc 482, Fpo-ap, Chatan-cho, OKINAWA 96362 | 2005-12-20 |
| 1043673213 | Kevin William O'malley | Internal Medicine | 600 N Wolfe Street, Meyer 8-134b, Baltimore, MD 21287-0005 | 2016-04-04 |
| 1770901670 | Kevin O'malley | Orthopaedic Surgery | 3800 Reservoir Rd Nw, Dept. of Orthopaedic Surgery, Washington, DC 20007-2113 | 2014-03-29 |
| Street Address |
310 N LOOMIS ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083653927 | Mauricio A Consalter | Internal Medicine | 310 N Loomis St, Chicago, IL 60607-1147 | 2006-06-06 |
| 1639779648 | Ashley Potratz | Behavior Technician | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-10-28 |
| 1518578459 | Alyanna Mae Moraga | Behavior Technician | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-08-13 |
| 1376161638 | Molly Soto | Physical Therapist | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-07-13 |
| 1326663550 | Akhil J Sridher | Physical Therapist | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-06-12 |
| 1104448935 | Ainsley Lita Adique | Behavior Technician | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-05-14 |
| 1801416730 | Colleen Elise Mcpherson | Behavior Technician | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-04-21 |
| 1750911749 | Megan Nicole Heimerman | Social Worker | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-01-19 |
| 1972143691 | Molly Bloom | Clinic/Center | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-01-10 |
| 1598304255 | Mercedes Herrera | Social Worker | 310 N Loomis St, Chicago, IL 60607-1147 | 2019-12-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
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| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070403 | Katerina Savino | Specialist/Technologist | 3823 N Ashland Ave, Chicago, IL 60613-5828 | 2016-01-14 |
| 1538329842 | Carlos Andres Vazquez | Specialist/Technologist | 10743 S Avenue L, Chicago, IL 60617-6602 | 2008-06-10 |
| 1790800043 | Veronica E. Moreno | Specialist/Technologist | 4332 N Elston Ave, Chicago, IL 60641-2144 | 2007-03-19 |
| 1952901506 | Joan Kristen Riley | Specialist/Technologist | 259 E Erie St Ste 2400, Chicago, IL 60611-3907 | 2020-10-31 |
| 1366059289 | Jacob Stoner | Specialist/Technologist | 3225 W Foster Ave, Chicago, IL 60625-4823 | 2020-09-24 |
| 1538527882 | Regnald Harris | Specialist/Technologist | 310 N Loomis St, Chicago, IL 60607-1147 | 2016-02-02 |
| 1528424660 | Stephen Buskirk | Specialist/Technologist | 310 N Loomis St, Chicago, IL 60607-1147 | 2016-01-05 |
| 1164718102 | Kyle Gadbois | Specialist/Technologist | 5616 W 63rd St, Chicago, IL 60638-5511 | 2011-06-28 |
| 1457526063 | Key I. Nam, Md, Sc. | Specialist/Technologist | 3434 W Peterson Ave, Suite 202, Chicago, IL 60659-3319 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139949 | Meryl Swidler | Specialist/Technologist | 44w625 Plato Rd, Burlington, IL 60109-1086 | 2019-11-22 |
| 1316174493 | David Knight | Specialist/Technologist | 66 Bradford Ln, Mundelein, IL 60060-2073 | 2009-06-16 |
| 1710147046 | Megan Maria Ziomek-feldman | Specialist/Technologist | 8440 Callie Ave, #301, Morton Grove, IL 60053-5011 | 2008-06-10 |
| 1215118922 | Angela Sorensen | Specialist/Technologist | 616a W 5th Ave # A, Naperville, IL 60563-2902 | 2007-11-21 |
| 1174657605 | Kathryn Ruth Schwerman | Specialist/Technologist | 21290 Sylvan Dr S, Mundelein, IL 60060-9518 | 2007-03-15 |
| 1548318298 | Richa Vohra | Specialist/Technologist | 24039 W Lockport Rd, Plainfield, IL 60544-1832 | 2007-01-08 |
| 1255300117 | Kenneth A. Stiff | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2006-03-14 |
| 1467811927 | Donna Rathunde | Specialist/Technologist | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2016-02-12 |
| 1881050698 | George Ashley | Specialist/Technologist | 1900 E Main St, Danville, IL 61832-5100 | 2016-01-08 |
| 1992194773 | Ericka Doan | Specialist/Technologist | 2988 Court St, Pekin, IL 61554-6229 | 2015-01-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.