PETER WALLER, DO

Family Medicine - Sports Medicine

Active Individual
NPI: 1902291644

Practice Address

9650 GROSS POINT RD. SUITE 2900
Skokie, IL 60076

Phone: (847) 866-7846

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 036150318 (IL)
Family Medicine - Sports Medicine 207QS0010X Yes 036150318 (IL)

Frequently Asked Questions

NPI 1902291644 is the National Provider Identifier for PETER WALLER, DO, a Family Medicine - Sports Medicine provider located in Skokie, IL. This NPI was enumerated on March 31, 2015.
PETER WALLER, DO practices at 9650 GROSS POINT RD. SUITE 2900, Skokie, IL 60076.

Quick Facts

NPI
1902291644
Type
Individual
Enumerated
Mar 31, 2015
Last Updated
Oct 10, 2019

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