Bernard Edward O'malley, MD | |
13539 Il Route 76, Poplar Grove, IL 61065-8815 | |
(815) 765-0147 | |
(815) 765-0427 |
Full Name | Bernard Edward O'malley |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 13539 Il Route 76, Poplar Grove, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164451456 | NPI | - | NPPES |
036047509 | Medicaid | IL | |
553180 | Other | IL | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036047509 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Bernard Edward O'malley, MD 13539 Il Route 76, Poplar Grove, IL 61065-8815 Ph: (815) 765-0147 | Bernard Edward O'malley, MD 13539 Il Route 76, Poplar Grove, IL 61065-8815 Ph: (815) 765-0147 |
William M Bitsas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 Maple Leaf Ln, Poplar Grove, IL 61065 Phone: 541-720-2746 | |
Troy Michael Doetch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Candlewick Dr Nw, Poplar Grove, IL 61065 Phone: 815-985-6929 |