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
Fax: (708) 798-1356
Website:

Health care specialties

SpecialtyCodeLicense #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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