Walsh, John M
Walsh, John M is an individual health care provider with primary practice located at 903 129Th Infantry Dr Suite 400, Joliet IL 60435-3171. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Walsh, John M can be contacted via phone (815) 725-2653.Contact Information
Primary practice address
903 129Th Infantry Dr Suite 400
Joliet IL 60435-3171
Phone: (815) 725-2653
Fax: (815) 744-3232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036-068704 | Illinois |
Profile Details
| NPI number | 1245222736 |
|---|---|
| LBN Legal business name | Walsh, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Sep 16th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245222736 | NPPES |
| Illinois | Other | P00060766 | PALMETTO RR MEDICARE |
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