Active NPI
Ronald Walls, M.D.
- Urology Physician
- Deerfield, IL
National Provider Identifier
1023379583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A60569
- Practice address
- 4 Parkway N
Deerfield, IL 60015-2502 - Phone
- (224) 282-1196
- Fax
- (847) 282-1003
- NPI assigned
- May 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A60569 | CA | Primary |
Addresses
Primary practice location
4 Parkway N
Deerfield, IL 60015-2502
Mailing address
4 Parkway N
Deerfield, IL 60015-2502
Phone (224) 282-1196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60569 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1023379583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PARKWAY N",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600152502",
"telephone_number": "224-282-1196",
"fax_number": "847-282-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PARKWAY N",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600152502",
"telephone_number": "224-282-1196",
"fax_number": "847-282-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-31",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A60569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield, IL
- Walgreens Health Medical Group California P.C. (Walgreens Health)
- Walgreens Health Medical Group P.a. (Walgreens Health)
- Walgreens Holding Company (Walgreens)
- Walgreens Mail Service Inc (Walgreens)
- Walgreens Specialty Pharmacy LLC (Walgreens Specialty Pharmacy)
- Julie F Waltz, LMT, MMP
- Jonathan F Wang, PHARM.D.
- Warby Parker Inc.
- Mitchell L Warren, M.D.
- Jordan Washburn, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.