DR. MICHAEL THOMAS WALSH (NPI# 1922211788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922211788 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL THOMAS WALSH |
| Credential | MD |
| Practice Address |
1200 N Westmoreland Rd Ste 100 Lake Forest IL 60045-1601 |
| Practice Telephone | 8475358500 |
| Practice Fax Number | 8475358488 |
| Mailing Telephone | 8475358500 |
| Mailing Fax Number | 8475358488 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 47288 | TN | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 53226-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 36-123396 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36-123396 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114468691 | Michael Walsh | Specialist/Technologist | 116 Brownsville St Ne, Preston, MN 55965-1127 | 2017-03-16 |
| 1386052488 | Michael Walsh | Pharmacist | 26925 Helmick Rd, Sedro Woolley, WA 98284-8331 | 2014-08-01 |
| 1346678273 | Michael J Walsh | Specialist | 4539 41st St, Sunnyside, NY 11104-3415 | 2013-11-01 |
| 1588921084 | Michael Gary Walsh | Psychiatry & Neurology | 710 W 1st St, Pella, IA 50219 | 2012-04-20 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| 1912151564 | Michael L Walsh | Mechanotherapist | 1829 Ne Alberta St Ste 1, Portland, OR 97211-5881 | 2008-11-10 |
| 1154441814 | Michael Kennedy Walsh | Case Manager/Care Coordinator | 1832 Pearce, Magnolia, AR 71753-2228 | 2007-03-29 |
| 1316063530 | Michael Anthony Walsh | Dentist | 2600 22nd Ave, Kenosha, WI 53140-4813 | 2007-03-21 |
| 1255468054 | Michael Anthony Walsh | Podiatrist | 9806 Grand Ave, Franklin Park, IL 60131-2679 | 2007-02-27 |
| 1639210982 | Michael E. Walsh | Counselor | 1420 Guerneville Rd Ste 1, Santa Rosa, CA 95403-4124 | 2007-02-09 |
| Street Address |
1200 N WESTMORELAND RD STE 100 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801824834 | Kathryn Sandberg | Physical Therapist | 1200 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1601 | 2006-06-29 |
| 1265885651 | Laura Bailey | Nurse Practitioner | 1200 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1601 | 2016-07-20 |
| 1598083727 | David J Kaufman | Orthopaedic Surgery | 1200 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1601 | 2010-05-12 |
| 1861726986 | Amanda Louise Wright | Physical Therapist | 1200 N Westmoreland Rd, Suite 200, Lake Forest, IL 60045-1601 | 2009-09-22 |
| 1356599633 | Benjamin Davis | Orthopaedic Surgery | 1200 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045-1601 | 2008-08-28 |
| 1891994760 | Theresa A Montella | Physical Therapist | 1200 N Westmoreland Rd, Lake Forest, IL 60045-1601 | 2007-07-12 |
| 1477751626 | Katherine Marie Schulte | Physical Therapist | 1200 N Westmoreland Rd, Suite 200, Lake Forest, IL 60045-1601 | 2007-07-10 |
| 1972538742 | Julie M Stride | Podiatrist | 1200 N Westmoreland Rd, Lake Forest, IL 60045-1601 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720244304 | Patrick Alexander Sugrue | Neurological Surgery | 800 N Westmoreland Rd, Suite 102, Lake Forest, IL 60045-1673 | 2008-08-01 |
| 1811912926 | Ronald P. Pawl | Neurological Surgery | 900 N Westmoreland Rd, Ll50, Lake Forest, IL 60045-1674 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114371 | Justin Michael | Neurological Surgery | 701 N 1st St Ste D-319, Springfield, IL 62702-3757 | 2020-05-06 |
| 1023678638 | Matthew Weber | Neurological Surgery | 701 N 1st St, Suite D-319, Springfield, IL 61702 | 2019-06-17 |
| 1891281499 | Kamran Khan, Sc | Neurological Surgery | 1890 Silver Cross Blvd Ste 450, New Lenox, IL 60451-9518 | 2018-07-06 |
| 1881124030 | Denise Brunozzi | Neurological Surgery | 912 South Wood Street, 451 N - Hc 739, Chicago, IL 60612 | 2017-06-19 |
| 1407218365 | St Anthonys Physician Organization of Illinois | Neurological Surgery | 211 S Burns Ave, Sparta, IL 62286-1895 | 2016-03-22 |
| 1225455181 | Jehad Algharabli | Neurological Surgery | 2218 S Leavitt St, Chicago, IL 60608-4008 | 2014-03-27 |
| 1992041461 | Gursant Atwal | Neurological Surgery | University of Il Hospital & Health Science System, 1740 W Taylor St, Chicago, IL 60612 | 2013-01-02 |
| 1629321112 | James Bruce Mansfield | Neurological Surgery | 5 Loch Ln, South Barrington, IL 60010-9532 | 2012-10-21 |
| 1639445877 | Joseph R Rivas | Neurological Surgery | 511 W Belmont Ave, #32, Chicago, IL 60657-4663 | 2012-03-30 |
| 1356637722 | Melissa M Stamates | Neurological Surgery | 2650 Ridge Ave Fl 3, Evanston, IL 60201 | 2011-06-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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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.