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Active NPI 1558542241 Individual Practitioner Male Practitioner

Michael Waller

Specialist/Technologist • Barrington, IL

Professional Overview & Biography Verified Profile Summary

Michael Waller is a registered healthcare professional specializing in Specialist/Technologist in Barrington, IL. Practice services are available at 600 HART RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Hart Rd
Suite 115

Barrington, IL 600102623

Telephone 8472777444
Associated Practice Facility / Clinic
🏢 Wcs Occupational Rehabilitation And Sports Medicine, Inc. Facility NPI 1275712515

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist in Barrington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Barrington, IL (24 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist Primary Specialty

NUCC Taxonomy Code: 225500000X

State License IL 954494

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aetna
7454077 (IL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
01622333 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Kevin Stalsberg

Specialist/Technologist - Athletic Trainer

NPI 1275714834

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active November 21, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2007

Registered at 600 HART RD, SUITE 115, BARRINGTON, IL 600102623 (Tel: 8472777444)

📍
Updated Business Mailing Address November 21, 2007

Registered at 12400 S HARLEM AVE, PALOS HEIGHTS, IL 604631440

👤
Provider Name / Credentials Updated November 21, 2007

Recorded as MICHAEL WALLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2007

Specialist/Technologist (License #954494 in IL)

🟢
Initial NPI Registration & Enumeration November 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558542241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2007
Last Update: November 21, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

12400 S Harlem Ave

Palos Heights, IL 604631440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.