Peter J. Waller, DO
Primary Care Sports Medicine · Skokie, IL
UnclaimedDONPI 1902291644
- Primary taxonomy
- 207QS0010X
- Enumerated
- 2015-03-31
- Practice location
- Skokie, IL
- Last NPPES update
- 2019-10-10
State licenses
- IL · Osteopathic physician · NPPES self-reportedListed on NPI record
“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.