Waitley, David W.

Waitley, David W. is an individual health care provider with primary practice located at 901 Mcclintock Dr Suite 201, Burr Ridge IL 60527-0872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Waitley, David W. can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
901 Mcclintock Dr Suite 201 Burr Ridge IL 60527-0872
Phone: (888) 220-6432
Fax: (630) 654-4253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036-072809 Illinois

Profile Details

NPI number 1558357830
LBN Legal business name Waitley, David W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated May 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558357830 NPPES
Illinois MEDICAID 036-072-809

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