MR. THOMAS WALLER (NPI# 1518113067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518113067 |
| Entity Type | Individual |
| Full Name | MR. THOMAS WALLER |
| Practice Address |
430 E 162nd St Suite 522 South Holland IL 60473-2258 |
| Practice Telephone | 7738953921 |
| Practice Fax Number | 7085750432 |
| Mailing Telephone | 7738953921 |
| Mailing Fax Number | 7085750432 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | W46082583086 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780116376 | Thomas Waller | Internal Medicine | 1620 W Harrison St, Chicago, IL 60612-3801 | 2017-04-01 |
| 1548274137 | Thomas R Waller | Physical Therapist | 600 Highland Ave, Compliance Mail Code-2433, Madison, WI 53792-0001 | 2006-07-28 |
| 1760410187 | Thomas A Waller | Internal Medicine | 6300 W Parker Rd, Suite 125, Plano, TX 75093-8100 | 2006-06-28 |
| 1629066857 | Thomas Waller | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-11 |
| Street Address |
430 E 162ND ST SUITE 522 |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-2258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285788687 | Shelley A Young | Dentist | 430 E 162nd St, Suite # 550, South Holland, IL 60473-2258 | 2007-01-22 |
| 1154875011 | Kimballs Healthcare Consultants | Nurse Practitioner | 430 E 162nd St, South Holland, IL 60473-2258 | 2016-08-09 |
| 1730545955 | Josalynn M Brown | Nurse Practitioner | 430 E 162nd St, South Holland, IL 60473-2258 | 2016-01-04 |
| 1700259660 | Straight Path Transportation | Non-emergency Medical Transport (VAN) | 430 E 162nd St, #314, South Holland, IL 60473-2258 | 2015-11-01 |
| 1619363587 | Roshann Whitfield | Specialist | 430 E 162nd St, Suite #260, South Holland, IL 60473-2258 | 2015-04-07 |
| 1780002352 | Chicagoland Infectious Disease PC | Internal Medicine | 430 E 162nd St, #487, South Holland, IL 60473-2258 | 2014-04-01 |
| 1932454402 | Linda Marie Sutton | Counselor | 430 E 162nd St, #124, South Holland, IL 60473-2258 | 2012-07-19 |
| 1750518205 | Lynn Rhodes | Speech-Language Pathologist | 430 E 162nd St, Suite 246, South Holland, IL 60473-2258 | 2009-06-11 |
| 1285880161 | Latoya Brown | Driver | 430 E 162nd St, Suite 522, South Holland, IL 60473-2258 | 2008-08-12 |
| 1659545085 | A & C Transportation, Inc | Non-emergency Medical Transport (VAN) | 430 E 162nd St, 105, South Holland, IL 60473-2258 | 2008-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912024 | Exquisite Events LLC | Driver | 654 E 166th St, South Holland, IL 60473-2336 | 2018-11-26 |
| 1285880161 | Latoya Brown | Driver | 430 E 162nd St, Suite 522, South Holland, IL 60473-2258 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033179 | Nakiesha Walton | Driver | 807 Ridge Dr # 520, Dekalb, IL 60115-1385 | 2020-11-06 |
| 1679173025 | Victoria Williams | Driver | 853 N Highland Ave Ste C, Aurora, IL 60506-2218 | 2020-10-27 |
| 1669088175 | Robert D Smith | Driver | 7400 Timbercrest Dr, Godfrey, IL 62035-2894 | 2020-09-20 |
| 1104435551 | Oluwagbenga Afiamoye Ojo | Driver | 6969 N Ashland Blvd Unit 101, Chicago, IL 60626-3354 | 2020-07-30 |
| 1780216622 | David Woods | Driver | 802 Mountaineer Ln Apt C, Marion, IL 62959-4132 | 2020-02-09 |
| 1619508843 | Tywan Thompson | Driver | 1329 Coldspring Rd, Carol Stream, IL 60188-4713 | 2020-01-27 |
| 1437789732 | Ruby Nelson | Driver | 14429 S Emerald Ave, Riverdale, IL 60827-2618 | 2020-01-25 |
| 1861030009 | National Center for Economics | Driver | 300 Read St Ste B, Lockport, IL 60441-3265 | 2019-12-18 |
| 1811530769 | Safeway Transportation Services Corp | Driver | 550 N Green Bay Rd Ste 1, Waukegan, IL 60085-3183 | 2019-10-23 |
| 1912548611 | Best Transportation & Logistics | Driver | 11958 S Paulina St, Calumet Park, IL 60827-5316 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
Please comment or provide details below to improve the information on MR. THOMAS WALLER.
| 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.