Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1568493146 Deactivated / Inactive NPI Male Practitioner

Dr. Robert J Walsh , MD

Specialist • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Walsh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2006
NPI Deactivation Date November 04, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Walsh, MD was a registered Specialist practicing in Chicago, IL. Throughout an active medical career spanning 15 years, Dr. Walsh provided care at the practice location at 1731 N MARCEY ST until profile deactivation on 2021-11-04.

Practice Location & Contact Primary Location

Practice Address

1731 N Marcey St
Suite 530

Chicago, IL 606145373

Telephone 3128677090
Fax 3128677081
Associated Practice Facility / Clinic
🏢 Back Center Of Chicago Facility NPI 1467467142

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
270 Specialists

Practicing in Chicago, IL (1322 Statewide)

Telehealth Adoption Rate
1.9% 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 Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 36037992

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Emily Marion , LCSW

Counselor - Professional

NPI 1104192145

Licensed Clinical Social Worker

Adam Lencioni , LPC

Counselor - Professional

NPI 1104299049

Licensed Professional Counselor

Marian Barnoski , LCSW

Social Worker - Clinical

NPI 1134598626

Licensed Clinical Social Worker

NPI 1144372830

Doctor of Chiropractic

Olivia Yang , LCSW

Social Worker - Clinical

NPI 1215125836

Licensed Clinical Social Worker

Caryl Noble , LCSW

Social Worker - Clinical

NPI 1215482021

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 04, 2021

Record deactivated on November 04, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1731 N MARCEY ST, SUITE 530, CHICAGO, IL 606145373 (Tel: 3128677090)

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Updated Business Mailing Address July 08, 2007

Registered at 1731 N MARCEY ST, SUITE 530, CHICAGO, IL 606145373 (Tel: 3128677090)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT WALSH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #36037992 in IL)

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Initial NPI Registration & Enumeration July 05, 2006

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: 1568493146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: July 08, 2007
Deactivation Date: November 04, 2021

Mailing Address

1731 N Marcey St, Suite 530

Chicago, IL 606145373

Phone: 3128677090

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.