Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER J. WALLER, DO
ActivePETER J. WALLER, DO is a Sports Medicine healthcare provider located in SKOKIE, Illinois. NPI 1902291644 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SKOKIE, IL
Registration Details
- NPI Number
- 1902291644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2015 (11.328642845257 yrs)
- Last Updated
- Oct 10, 2019
- Licenses
-
036150318 (IL)036150318 (IL)
Practice Information
- Address
-
9650 GROSS POINT RD. SUITE 2900SKOKIE, IL, 60076Browse IL providers · Browse ZIP 60076
- Phone
- 8478667846
- Fax
- 2242512905
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in SKOKIE, IL
| Name | Credential | NPI |
|---|---|---|
| ERIC N. HOEPER | MD | 1982637450 |
| DANIELLE BASS | M.D. | 1790952752 |
| DR. KIRSTEN EILEEN GEARY | M.D. | 1245539725 |
| THOMAS AUGUST MORAN | MD | 1649534447 |
| WARD H. MCCRACKEN | DO | 1669714978 |
| DR. JOSHUA LILLY | DO | 1649657008 |
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.