Individual
DR. WALTER G ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 N WALL ST STE P620, KANKAKEE, IL 60901-3487
(815) 928-5098
(815) 936-3850
Mailing address
375 N WALL ST STE P620, KANKAKEE, IL 60901-3487
(815) 928-5098
(815) 936-3850
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036144255
IL
207Y00000X
Otolaryngology Physician
35.082713
OH
207Y00000X
Otolaryngology Physician
MD00043576
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109991
—
OH
Enumeration date
07/27/2006
Last updated
12/05/2019
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