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

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

Other identifiers 1

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 and National Provider Directory roles.

• Midwest Respiratory, LTD.

  • Pulmonary Disease Physician
  • Joliet, IL
  • NPI 1407933831

  IL

  Medicare reassignment NPD Authorized official
• Butterfield Health Care II, Inc.

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

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

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

  • 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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00060766",
            "state": "IL"
        }
    ],
    "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

• All providers in Joliet, IL
• 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.