MR. THOMAS WALLER NPI 1518113067

NPI Information

NPI: 1518113067
Provider Name: MR. THOMAS WALLER
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
430 E 162ND ST
SUITE 522
SOUTH HOLLAND, IL
ZIP 60473
Phone: (773) 895-3921
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MR. Thomas Waller is a driver in South Holland, IL. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. MR. Thomas Waller NPI is 1518113067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

430 E 162ND ST
SUITE 522
SOUTH HOLLAND, IL
ZIP 60473-258
Phone: (773) 895-3921
Fax: (708) 575-0432

The enumeration date for this NPI number is 8/15/2008 and was last updated on 8/15/2008.

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	172A00000X	Driver		W46082583086	ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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