Miroslaw Walo, Md Sc

LBN: Miroslaw Walo, Md Sc
Miroslaw Walo, Md Sc is an health care organization with primary practice located at 4905 Old Orchard Ctr Ste 428, Skokie IL 60077-1458. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as the primary health care specialty. Miroslaw Walo, Md Sc can be contacted via phone (847) 324-4300, or through Walo, Miroslaw Jan via phone (847) 324-4300.

Contact Information

Primary practice address
4905 Old Orchard Ctr Ste 428 Skokie IL 60077-1458
Phone: (847) 324-4300
Fax: (847) 324-4303
Website:
Map and Directions
Authorized official contact:
Name: Walo, Miroslaw Jan Doctor of Medicine (MD)
Phone: (847) 324-4300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 042618878 Illinois

Profile Details

NPI number 1679772479
LBN Legal business name Miroslaw Walo, Md Sc
DBA Doing business as
Authorized official Walo, Miroslaw Jan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated Mar 29th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679772479 NPPES
Illinois MEDICAID 036093864

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