John M Walsh, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-068704 Issued in IL

Practice address

903 129TH Infantry Dr
Suite 400
Joliet, IL 60435-3171

Phone

(815) 725-2653

Fax

(815) 744-3232

NPI assigned

Aug 19, 2005

Last updated

Sep 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Respiratory, LTD.

  • Pulmonary Disease Physician
  • Joliet, IL
  • NPI 1407933831
  Medicare reassignment NPD Authorized official
• Butterfield Health Care II, Inc.

  dba Meadowbrook Manor of Naperville

  • Skilled Nursing Facility
  • Naperville, IL
  • NPI 1588638795
  NPD
• Presence Central and Suburban Hospitals Network

  dba Presence Saint Joseph Medical Center-Rehab Unit

  • Rehabilitation Hospital Unit
  • Joliet, IL
  • NPI 1124189733
  NPD (past)
• Silver Cross Hospital & Medical Centers

  dba Silver Cross Hospital

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  NPD (past)
• Symphony Deerbrook LLC

  dba Deerbrook Care Centre

  • Skilled Nursing Facility
  • Joliet, IL
  • NPI 1598033904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1245222736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 400",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353171",
            "telephone_number": "815-725-2653",
            "fax_number": "815-744-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 400",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353171",
            "telephone_number": "815-725-2653",
            "fax_number": "815-744-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-068704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaleisa S Walker
• Yisela Walker
• Tomeka Walls, D.T.
• Walmart Inc.
• Erika D Walsh, LCSW
• Debra Elaine Walters, PT
• Marion Waltower
• Rochelle Walwer, LCSW
• Christine Wang, DMD
• Tracy Ward

• Specialist in Joliet, IL
• Providers in Joliet, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.