Waller, Peter J.

Waller, Peter J. is an individual health care provider with primary practice located at 9650 Gross Point Rd. Suite 2900 , Skokie IL 60076. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Waller, Peter J. can be contacted via phone (847) 866-7846.

Contact Information

Primary practice address
9650 Gross Point Rd. Suite 2900 Skokie IL 60076
Phone: (847) 866-7846
Fax: (224) 251-2905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036150318 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036150318 Illinois

Profile Details

NPI number 1902291644
LBN Legal business name Waller, Peter J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2015
Last updated Oct 10th, 2019 - about 6 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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