| William Walsh, MD | |
|
2800 W 95th St, Evergreen Park, IL 60805-2746 | |
| (708) 422-4221 | |
| (708) 422-4415 |
| Full Name | William Walsh |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 2800 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659355972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036103168 (Illinois) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 036103168 (Illinois) | Primary |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| William Walsh, MD 2800 W 95th St, Evergreen Park, IL 60805-2701 Ph: (708) 229-5365 | William Walsh, MD 2800 W 95th St, Evergreen Park, IL 60805-2746 Ph: (708) 422-4221 |
Mahir Mameledzija, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
Penny Hutchinson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Francisco Rosales, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Ronald Holt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Michael O'mara, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Dr. Syed Khursheed Zaman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3851 W 95th St, Evergreen Park, IL 60805 Phone: 708-576-8112 Fax: 708-221-6631 | |
James Danziger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 |