DR. TERRI LYNNE O'MALLEY (NPI# 1972584423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972584423 |
| Entity Type | Individual |
| Full Name | DR. TERRI LYNNE O'MALLEY |
| Other Name | TERRI LYNNE VAN ZANDT |
| Credential | J.D., M.D. |
| Practice Address |
5615 Irish Lane Harvard IL 60033 |
| Practice Telephone | 8152451502 |
| Practice Fax Number | 8159432848 |
| Mailing Telephone | 8152451502 |
| Mailing Fax Number | 8159432848 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036 095762 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036 095762 | 05 |
| Street Address |
5615 IRISH LANE |
| City | HARVARD |
| State | IL |
| Zip Code | 60033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902962681 | Jon Karl Warnecke | Chiropractor | 30 N Ayer St, Harvard, IL 60033 | 2006-12-28 |
| 1164524336 | Timothy A Chrapkiewicz | Dentist | 604 N Division, Harvard, IL 60033 | 2006-09-01 |
| 1609869163 | Victor I Garber | Emergency Medicine | 901 Grant St, Harvard, IL 60033 | 2005-08-30 |
| 1972012060 | Jessica Crowell Bumpus | Nurse Practitioner | 62 N Ayer St, Harvard, IL 60033 | 2017-09-21 |
| 1093944324 | Imran Ali | Optometrist | 313 N Division St, Harvard, IL 60033 | 2009-07-08 |
| 1548276991 | Joseph P Mazzei | Emergency Medicine | 901 Grant St, Harvard, IL 60033 | 2006-07-31 |
| 1700392024 | Sandra Lee Knop | Speech-Language Pathologist | 1200 N Jefferson St, Harvard, IL 60033-1730 | 2017-12-21 |
| 1891805081 | James H Sullivan | Emergency Medicine | 901 Grant Street, Harvard, IL 60033-1821 | 2006-08-30 |
| 1629588660 | Margaret A. Pawlowski | Speech-Language Pathologist | 901 Grant St, Harvard, IL 60033-1821 | 2017-10-04 |
| 1538606488 | Amber Lynn Omiecinski | Nurse Practitioner | 901 Grant St, Harvard, IL 60033-1821 | 2017-01-30 |
| Find all providers in zip 60033 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265410609 | Julie M Jankelson | Pediatrics | 16 Lancaster County Rd, Concord Hillside Medical Associates, Harvard, MA 01451-1114 | 2006-01-05 |
| 1396881850 | Allen R.m. Castillo | Pediatrics | 348 S Division St, Harvard, IL 60033-3247 | 2007-01-30 |
| 1053381285 | Thomas M Collins | Pediatrics | 16 Lancaster County Rd, Concord Hillside Medical Associates, Harvard, MA 01451-1114 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| Find all providers with the same taxonomy | ||||
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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.