John M Walsh in Joliet - Specialist

John M Walsh - NPI 1245222736

John M Walsh is a Specialist in Joliet, Illinois. John M Walsh practices all healthcare services and medical treatments related to Specialist. The NPI Number for John M Walsh is 1245222736. The last update date is 2008-09-16.

John M Walsh's current location address is 903 129th Infantry Dr, Joliet, Illinois. You can contact this provider via phone number 8157252653 and fax number 8157443232. The mailing address for John M Walsh is 903 129th Infantry Dr, Joliet, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John M Walsh
Address 903 129th Infantry Dr, Joliet, Illinois
Phone Number 8157252653
Fax Number 8157443232
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1245222736
Provider Enumeration Date 2005-08-19
Last Updated Date 2008-09-16

Provider Mailing Address Detail

Address 903 129th Infantry Dr
City Joliet
State Illinois (IL)
Post Code 604353171
Phone Number 8157252653
Fax Number 8157443232

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 036-068704
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00060766 IL PALMETTO RR MEDICARE

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FAQs about John M Walsh

What is the unique provider identifier assigned to John M Walsh?

The John M Walsh has been issued the NPI (National Provider Identifier) 1245222736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where John M Walsh is physically located?

The John M Walsh is situated at the following address: 903 129Th Infantry Dr, Joliet, IL 604353171.

What is John M Walsh's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John M Walsh is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the John M Walsh receive its 1245222736 assignment from the Centers for Medicare & Medicaid Services?

The John M Walsh was assigned its 1245222736 by the Centers for Medicare & Medicaid Services on 2005-08-19.

As of what date were the details pertaining to John M Walsh last refreshed?

The information related to the John M Walsh, including its address, specialty, and other relevant details, was last updated on 2008-09-16.

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