Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALTER TATCH
Active Sole ProprietorDR. WALTER TATCH is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in GURNEE, Illinois. NPI 1285714568 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · GURNEE, IL
Registration Details
- NPI Number
- 1285714568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.866348012252 yrs)
- Last Updated
- Dec 16, 2024
- Licenses
-
021002076 (IL)021002076 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 S GREENLEAF ST STE 203GURNEE, IL, 600315708Browse IL providers · Browse ZIP 60031
- Phone
- 8476235915
- Fax
- 8476231174
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.