Mary M. Waller, MD
Urology · Olney, IL
UnclaimedMDNPI 1225024615
- Primary taxonomy
- 208800000X
- Enumerated
- 2005-09-21
- Practice location
- Olney, IL
- Last NPPES update
- 2009-10-05
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.