Organization
MIDWEST RESPIRATORY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M WALSH M.D. (PRESIDENT)
(815) 725-2653
Entity
Organization
Contact information
Practice address
903 129TH INFANTRY DR, SUITE 400, JOLIET, IL 60435-3171
(815) 725-2653
(815) 744-3232
Mailing address
903 129TH INFANTRY DR, SUITE 400, JOLIET, IL 60435-3171
(815) 725-2653
(815) 744-3232
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
042-618083
IL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
042-618083
IL
Other
Enumeration date
11/01/2006
Last updated
06/10/2008
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