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James O'Malley

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1750 W Harrison St, Chicago, IL 60612-3825

PECOS Enrollment

This provider is enrolled in PECOS as JAMES O MALLEY.

Based on the most recent information from CMS, provider James O'Malley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1568849347
Provider Type
Individual
Full Name
O'Malley, James
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
4/30/2015
Last Updated
4/30/2015

Contact Information

Practice Location

1750 W Harrison St, Chicago, IL 60612-3825

(312) 947-0229

Unlisted Fax

Mailing Location

1750 W Harrison St, Kellogg 108, Chicago, IL 60612-3825

(312) 947-0229

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085005462 Illinois

James O'Malley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shah, Palak K.

Micci, Sandra Jean

Lew, Logan

Megchelsen, Rebecca

Boris, Abigail

Mentzer, Aaron

Barnes, Brenda L

Kumar, Nainika

Chitekwe, Ron C

Caceres, Victor Thomas