Walsh, Michael Thomas

Walsh, Michael Thomas is an individual health care provider with primary practice located at 1000 N Westmoreland Rd # Level3 , Lake Forest IL 60045-1658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Walsh, Michael Thomas can be contacted via phone (847) 535-7271.

Contact Information

Primary practice address
1000 N Westmoreland Rd # Level3 Lake Forest IL 60045-1658
Fax: (847) 535-8488
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 36-123396 Illinois

Profile Details

NPI number 1922211788
LBN Legal business name Walsh, Michael Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jan 29th, 2021 - about 5 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 1922211788 NPPES
Illinois MEDICAID 36-123396

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