MS. ELIZABETH A WALSH P.A.-C NPI 1538403548

NPI Information

NPI: 1538403548
Provider Name: MS. ELIZABETH A WALSH, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
Phone: (312) 563-1358
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MS. Elizabeth A Walsh, P.A.-C is a medical physician assistant in Chicago, IL. MS. Elizabeth A Walsh, P.A.-C NPI is 1538403548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612-833
Phone: (312) 563-1358

The NPI 1538403548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 10/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA9106939	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	085006176	ILLINOIS	Yes
3	363AM0700X	Physician Assistant	Medical	017211-1	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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