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Michael Waller
Respiratory/Developmental/Rehabilitative Specialist/Technologist in Barrington, Illinois
NPI 1558542241

Michael Waller is a Respiratory/Developmental/Rehabilitative Specialist/Technologist based in Palos Heights, IL. Michael Waller practices in Barrington, IL. The NPI Number for Michael Waller is 1558542241 and holds a License No. 954494 (Illinois).

The current practice location address for Michael Waller is 600 Hart Rd, Barrington, IL and can be reached out via phone at 847-277-7444.

Location: 600 Hart Rd, Barrington, IL, 60463-1440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558542241
Provider Name
Michael Waller
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 Hart Rd, Barrington, IL, 60463-1440
Phone Number
847-277-7444
Fax Number
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7454077 01 IL AETNA
01622333 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
600 Hart Rd
City
Barrington
State
Illinois
Zip
60010-2623
Phone Number
847-277-7444
Fax Number
person
Provider Business Mailing Address Details
Address
600 Hart Rd
City
Barrington
State
Illinois
Zip
60010-2623
Phone Number
847-277-7444
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
225500000X
License No.
954494 (Illinois)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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