Dr. Timothy Wall , MD
Pediatrics • Naperville, IL
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. Timothy Wall has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Timothy Wall, MD was a registered Pediatrics practicing in Naperville, IL. Throughout an active medical career spanning 12 years, Dr. Wall provided care at the practice location at 636 RAYMOND DR until profile deactivation on 2018-12-07.
Practice Location & Contact Primary Location
636 Raymond Dr
Suite 205
Naperville, IL 605639789
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Naperville, IL
Practicing in Naperville, IL (3277 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
MDMPH
Nurse Practitioner - Pediatrics
Advanced Practice Registered Nurse
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 07, 2018
NPI status registered as active in NPPES database
Registered at 636 RAYMOND DR, SUITE 205, NAPERVILLE, IL 605639789 (Tel: 6307172300)
Registered at 636 RAYMOND DR, SUITE 205, NAPERVILLE, IL 605639789 (Tel: 6307172300)
Recorded as TIMOTHY WALL, M.D.
Pediatrics (License #036062059 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
636 Raymond Dr, Suite 205
Naperville, IL 605639789
Phone: 6307172300
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