Provider Demographics
NPI:1093983348
Name:RYBKA-O'MALLEY, MALGORZATA MONIKA
Entity Type:Individual
Prefix:MRS
First Name:MALGORZATA
Middle Name:MONIKA
Last Name:RYBKA-O'MALLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROUND LAKE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60073-3171
Mailing Address - Country:US
Mailing Address - Phone:847-756-0893
Mailing Address - Fax:
Practice Address - Street 1:1268 NORTH AVE.
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035
Practice Address - Country:US
Practice Address - Phone:847-266-7939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist