# ROBERT J WALSH MD, S.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VAX-D-BACK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386702157
- **Authorized official:** DR. ROBERT J WALSH MD (PRESIDENT)
- **Authorized official phone:** (312) 867-7090

## Contact information

- **Practice address:** 1731 N MARCEY ST, SUITE 530, CHICAGO, IL 60614-5373
- **Practice address phone:** (312) 867-7090
- **Practice address fax:** (312) 867-7081
- **Mailing address:** 1731 N MARCEY ST, SUITE 530, CHICAGO, IL 60614-5373
- **Mailing address phone:** (800) 611-6912
- **Mailing address fax:** (440) 716-1605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020