Search › Illinois › 207QS0010X
Peter Waller, DO
NPI 1902291644 · on the registry since 2015
Practice
- Address
- 9650 Gross Point Rd. Suite 2900
Skokie, IL 60076 - Phone
- (847) 866-7846
- Fax
- (224) 251-2905
- Clinicians at this address
- 165
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois