Nan O Walicki, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Practice address

1430 N Arlington HTS Rd
Suite 105
Arlington HTS, IL 60004

Phone

(847) 253-3600

Fax

(847) 253-3912

NPI assigned

Aug 31, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nan Oesterle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nwalicki251138@direct.myadvocateaurora.org

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.

• North Arlington Pediatrics S.C.

  • Pediatrics Physician
  • Arlington Heights, IL
  • NPI 1174649040
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871604173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HTS RD",
            "address_2": "SUITE 105",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600044830",
            "telephone_number": "847-253-3600",
            "fax_number": "847-253-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HTS RD",
            "address_2": "SUITE 105",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-253-3600",
            "fax_number": "847-253-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALICKI",
        "first_name": "NAN",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAN",
            "last_name": "OESTERLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sylvia Toliopoulos, PT
• Stanley Elliott Treitler, DDS
• Martha Trinh, DPT
• Melissa L Turner, MD
• Richard S Tuttle, MD
• Stacy H Weiss, M.D.
• Amy Wenzel, LCSW
• Tara Lynn Whiteman-Fager, DC
• Harvey M. Wolf, PSY.D.
• Catherine Wolff

• Pediatrics Physician in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.