Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL WALLER
ActiveAthletic Trainer · BARRINGTON, IL
Registration Details
- NPI Number
- 1558542241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2007 (18.416654859056 yrs)
- Last Updated
- Nov 21, 2007
- License
-
954494 (IL)
Practice Information
- Address
-
600 HART RDSUITE 115BARRINGTON, IL, 600102623Browse IL providers · Browse ZIP 60010
- Phone
- 8472777444
- Primary Specialty
-
Athletic Trainer
225500000X
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.