Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS WALLER
ActiveMR. THOMAS WALLER is a Driver healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1518113067 is currently active in the NPPES registry. Verify at CMS.
Driver · SOUTH HOLLAND, IL
Registration Details
- NPI Number
- 1518113067
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2008 (17.971268004988 yrs)
- Last Updated
- Aug 15, 2008
- License
-
W46082583086 (IL)
Practice Information
- Address
-
430 E 162ND STSUITE 522SOUTH HOLLAND, IL, 604732258Browse IL providers · Browse ZIP 60473
- Phone
- 7738953921
- Fax
- 7085750432
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in SOUTH HOLLAND, IL
| Name | Credential | NPI |
|---|---|---|
| MS. LATOYA BROWN | — | 1285880161 |
| MS. LESLIE HINES | — | 1376260216 |
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.