Miroslaw Walo, Md Sc in Skokie - Prescribing (medical)
Miroslaw Walo, Md Sc - NPI 1679772479
Miroslaw Walo, Md Sc is a Prescribing (medical) in Skokie, Illinois. Miroslaw Walo, Md Sc practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Miroslaw Walo, Md Sc is 1679772479. The last update date is 2017-03-29.
Miroslaw Walo, Md Sc's current location address is 4905 Old Orchard Ctr, Skokie, Illinois. You can contact this provider via phone number 8473244300 and fax number 8473244303. The mailing address for Miroslaw Walo, Md Sc is 4905 Old Orchard Ctr, Skokie, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Miroslaw Walo, Md Sc |
|---|---|
| Address | 4905 Old Orchard Ctr, Skokie, Illinois |
| Phone Number | 8473244300 |
| Fax Number | 8473244303 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Walo Jan Miroslaw |
| Credentials | M.D. |
| Telephone Number | 8473244300 |
NPI Number Detail
| NPI Number | 1679772479 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2017-03-29 |
Provider Mailing Address Detail
| Address | 4905 Old Orchard Ctr |
|---|---|
| City | Skokie |
| State | Illinois (IL) |
| Post Code | 60077 |
| Phone Number | 8473244300 |
| Fax Number | 8473244303 |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 42618878 |
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Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36093864 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Miroslaw Walo, Md Sc by the Centers for Medicare & Medicaid Services (CMS)?
The Miroslaw Walo, Md Sc has been assigned the NPI (National Provider Identifier) 1679772479. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Miroslaw Walo, Md Sc is located?
The Miroslaw Walo, Md Sc is situated at the following address: 4905 Old Orchard Ctr, Skokie, IL, 60077.
What is Miroslaw Walo, Md Sc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Miroslaw Walo, Md Sc is Prescribing (medical), and the taxonomy classification code that categorizes this area of expertise is 103Tp0016X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679772479 to Miroslaw Walo, Md Sc?
The Centers for Medicare & Medicaid Services originally issued the 1679772479 to Miroslaw Walo, Md Sc on 2007-07-12.
As of what date were the details related to Miroslaw Walo, Md Sc most recently updated or revised?
The information pertaining to Miroslaw Walo, Md Sc, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-29.