Wallyn, Richard Joseph
Wallyn, Richard Joseph is an sole proprietor health care provider with primary practice located at 1300 Brassie Ave. , Flossmoor IL 60422-1812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Wallyn, Richard Joseph can be contacted via phone (708) 798-1356.Contact Information
Primary practice address
1300 Brassie Ave.
Flossmoor IL 60422-1812
Phone: (708) 798-1356
Fax: (708) 798-1356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 036-32156 | Illinois |
Profile Details
| NPI number | 1033343132 |
|---|---|
| LBN Legal business name | Wallyn, Richard Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2009 |
| Last updated | May 5th, 2009 - about 17 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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