DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MIROSLAW JAN WALO, MD

Active Sole Proprietor

DR. MIROSLAW JAN WALO, MD is a Psychiatric Neurology healthcare provider located in WILMETTE, Illinois. NPI 1700954294 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · WILMETTE, IL

Registration Details

NPI Number
1700954294
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2006 (19.746883531821 yrs)
Last Updated
Jun 27, 2024
Licenses
036093864 (IL)
036-093864 (IL)
Sole Proprietor
Yes

Practice Information

Address
1010 CENTRAL AVE UNIT 4A
WILMETTE, IL, 600912681
Browse IL providers · Browse ZIP 60091
Phone
8473244300
Fax
8473244303
Primary Specialty
Psychiatric Neurology
2084P0804X
Additional Specialty
Psychiatric Neurology

Other Psychiatric Neurology Providers in WILMETTE, IL

Name Credential NPI
DEBORAH HOPE MATEK MD 1871591776
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.