Walterhouse, David Otto

Walterhouse, David Otto is an individual health care provider with primary practice located at 2300 Childrens Plaza Division Of Hematology/Oncology Box 30, Chicago IL 60614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Walterhouse, David Otto can be contacted via phone (773) 755-6514.

Contact Information

Primary practice address
2300 Childrens Plaza Division Of Hematology/Oncology Box 30 Chicago IL 60614
Phone: (773) 755-6514
Fax: (773) 880-3223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 036079082 Illinois

Profile Details

NPI number 1265491062
LBN Legal business name Walterhouse, David Otto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Sep 29th, 2011 - about 13 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 1265491062 NPPES
Illinois MEDICAID 036079082

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