Active NPI
Robert L Walker, HT
- Histology Specialist/Technologist
- Bellwood, IL
National Provider Identifier
1124158076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Histology Specialist/Technologist
- Practice address
- 5133 Saint Charles Rd
Unit F
Bellwood, IL 60104-1054 - Phone
- (708) 547-1999
- Fax
- (708) 547-1699
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Histology Specialist/Technologist | 246QH0600X | Primary |
Addresses
Primary practice location
5133 Saint Charles Rd
Unit F
Bellwood, IL 60104-1054
Mailing address
5133 Saint Charles Rd
Unit F
Bellwood, IL 60104-1054
Phone (708) 547-1999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050412000034 | IL | Part B Supplier - Slide Preparation Facilities | 2769429737 | Practice locations: Bellwood, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1124158076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5133 SAINT CHARLES RD",
"address_2": "UNIT F",
"city": "BELLWOOD",
"state": "IL",
"postal_code": "601041054",
"telephone_number": "708-547-1999",
"fax_number": "708-547-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5133 SAINT CHARLES RD",
"address_2": "UNIT F",
"city": "BELLWOOD",
"state": "IL",
"postal_code": "601041054",
"telephone_number": "708-547-1999",
"fax_number": "708-547-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "HT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "246QH0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Histology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.