MARY ELIZABETH O'MALLEY
NPI 1639054505
Nurse Practitioner - Family in Lake Bluff, IL

Active since August 08, 2025
917 SHERWOOD DR, LAKE BLUFF, IL 60044(947) 295-1220 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Elizabeth O'malley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELIZABETH O'MALLEY (NPI 1639054505) is an individual family provider in Lake Bluff, Illinois, licensed in Illinois (209032914) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1639054505
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ELIZABETH O'MALLEY
Location Address917 SHERWOOD DRLake Bluff, IL 60044-2224
Mailing Address8523 W Pawnee RdPalos Park, IL 60464-1954 · (708) 224-5611
Sole ProprietorNo
Enumeration DateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1639054505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209032914
917 SHERWOOD DR, Lake Bluff, IL 60044

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
917 SHERWOOD DR
LAKE BLUFF, IL 60044
Behavior Analyst
917 SHERWOOD DR
LAKE BLUFF, IL 60044
Behavior Technician
917 SHERWOOD DR
LAKE BLUFF, IL 60044
Pediatrics
917 SHERWOOD DR
LAKE BLUFF, IL 60044
Pediatrics
917 SHERWOOD DR
LAKE BLUFF, IL 60044
Pediatrics
917 SHERWOOD DR
LAKE BLUFF, IL 60044
Pediatrics
917 SHERWOOD DR
LAKE BLUFF, IL 60044
Pediatrics
917 SHERWOOD DR
LAKE BLUFF, IL 60044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary O'malley's NPI number?

The NPI number for Mary O'malley is 1639054505. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Where is Mary O'malley located?

Mary O'malley practices at 917 Sherwood Dr, Lake Bluff, IL 60044. The listed phone number is (947) 295-1220.

What is Mary O'malley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary O'malley was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.