Organization Active NPI

Robert J Walsh MD, S.C

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1386702157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ROBERT J WALSH MD, S.C
Practice address
1731 N Marcey St
Suite 530
Chicago, IL 60614-5373
Phone
(312) 867-7090
Fax
(312) 867-7081
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert J Walsh, MD
Title
President
Phone
(312) 867-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1731 N Marcey St
Suite 530
Chicago, IL 60614-5373

Mailing address

1731 N Marcey St
Suite 530
Chicago, IL 60614-5373
Phone (800) 611-6912

Other names 1

  • VAX-D-BACK Doing business as

National Provider Directory

National Provider Directory

Locations

1731 N Marcey St
Ste 530
Chicago, IL 60614
Phone (312) 787-7850

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386702157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 N MARCEY ST",
            "address_2": "SUITE 530",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145373",
            "telephone_number": "800-611-6912",
            "fax_number": "440-716-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 N MARCEY ST",
            "address_2": "SUITE 530",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145373",
            "telephone_number": "312-867-7090",
            "fax_number": "312-867-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J WALSH MD, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-867-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAX-D-BACK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.