Individual
DR. MICHAEL THOMAS WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL3, LAKE FOREST, IL 60045-1658
(847) 535-7271
(847) 535-8488
Mailing address
1000 N WESTMORELAND RD # LEVEL3, LAKE FOREST, IL 60045-1658
(847) 535-7271
(847) 535-8488
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36-123396
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36-123396
—
IL
Enumeration date
05/08/2007
Last updated
01/29/2021
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