Walo, Miroslaw Jan

Walo, Miroslaw Jan is an sole proprietor health care provider with primary practice located at 1010 Central Ave Unit 4A , Wilmette IL 60091-2681. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Walo, Miroslaw Jan can be contacted via phone (847) 324-4300.

Contact Information

Primary practice address
1010 Central Ave Unit 4A Wilmette IL 60091-2681
Phone: (847) 324-4300
Fax: (847) 324-4303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036093864 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036-093864 Illinois

Profile Details

NPI number 1700954294
LBN Legal business name Walo, Miroslaw Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jun 27th, 2024 - about 2 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 1700954294 NPPES
Illinois MEDICAID 036093864

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