Jay, Walter M

Jay, Walter M is an individual health care provider with primary practice located at 2160 S 1St Ave (9806 Roberts Rd., Hickoty Hills, Il. 60457), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jay, Walter M can be contacted via phone (708) 233-5333.

Contact Information

Primary practice address
2160 S 1St Ave (9806 Roberts Rd., Hickoty Hills, Il. 60457) Maywood IL 60153
Phone: (708) 233-5333
Fax: (708) 233-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36055023 Illinois

Profile Details

NPI number 1609840735
LBN Legal business name Jay, Walter M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 18th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609840735 NPPES
Illinois MEDICAID 36055023

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