MR. ROBERT JAMES WALSH (NPI# 1174645568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174645568 |
| Entity Type | Individual |
| Full Name | MR. ROBERT JAMES WALSH |
| Credential | PA |
| Practice Address |
2424 S Pulaski Rd Chicago IL 60623-3718 |
| Mailing Address |
5014 W 83rd St Burbank IL 60459-2722 |
| Practice Telephone | 7732578308 |
| Mailing Telephone | 7084241887 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1528278629 | Robert J. Walsh Jr. | Dentist | 8136 Kennedy Ave, Highland, IN 46322-1129 | 2007-05-23 |
| 1801004031 | Robert D. Walsh | Dentist | 1810 Washington Blvd, Easton, PA 18042-4633 | 2007-05-20 |
| 1881812568 | Robert Phillip Walsh | Nurse Anesthetist, Certified Registered | 3635 Vista Ave. At Grand Blvd, St. Louis, MO 63110 | 2007-04-20 |
| 1003032459 | Robert William Walsh | Chiropractor | 5480 Sunol Blvd Ste 3, Pleasanton, CA 94566-7762 | 2007-04-17 |
| 1548321037 | Robert James Walsh | Psychologist | 1100 S Calumet Rd, Suite 3, Chesterton, IN 46304-3275 | 2006-12-12 |
| 1861567364 | Robert Emmett Walsh | Chiropractor | 416 Se 11th Court, Ft Lauderdale, FL 33316 | 2006-11-21 |
| 1376636670 | Robert J Walsh | Ophthalmology | 1777 English Road, Rochester, NY 14616 | 2006-10-02 |
| 1568493146 | Robert J Walsh | Specialist | 1731 N Marcey St, Suite 530, Chicago, IL 60614-5373 | 2006-07-05 |
| 1942250576 | Robert Dupre Walsh | Internal Medicine | 1265 Fulton Avenue, Bronx Lebenon Special Care Center, Bronx, NY 10456-3401 | 2006-05-12 |
| Street Address |
2424 S PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861512667 | Cook County | Clinic/Center | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2007-03-29 |
| 1073131926 | Carolyn Ann Condiff | Dental Hygienist | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2020-07-08 |
| 1609407691 | Cook County | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2020-01-29 |
| 1467907444 | Natividad Calixto | Social Worker | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2016-08-19 |
| 1124491873 | Alexandra M Reyes | Social Worker | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2015-11-03 |
| 1629383492 | Sijuwola Olayinka Ajinwun | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2010-08-17 |
| 1679885529 | Jessica Barreto | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2010-07-08 |
| 1669649521 | Vimarie Rodriguez | Family Medicine | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2008-05-09 |
| 1336358175 | James Gerard Donahue | Counselor | 2424 S Pulaski Rd, Chicago, IL 60623-3718 | 2007-05-21 |
| 1417077512 | Kristine M. Healy | Physician Assistant | 2424 S Pulaski Rd, Dr. Jorge Prieto Family Health Center, Chicago, IL 60623-3718 | 2007-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| 1932736816 | Taylor Evan Fisher | Physician Assistant | 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 | 2020-03-23 |
| 1285260844 | Krista A Saum | Physician Assistant | 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 | 2020-03-16 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.