Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518113067 Individual Practitioner Male Practitioner

Thomas Waller

Driver • South Holland, IL

Professional Overview & Biography Verified Profile Summary

Thomas Waller is a registered healthcare professional specializing in Driver in South Holland, IL. Practice services are available at 430 E 162ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

430 E 162nd St
Suite 522

South Holland, IL 604732258

Telephone 7738953921
Fax 7085750432
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in South Holland, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in South Holland, IL (286 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

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License IL W46082583086

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1285880161

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2008

Registered at 430 E 162ND ST, SUITE 522, SOUTH HOLLAND, IL 604732258 (Tel: 7738953921)

📍
Updated Business Mailing Address August 15, 2008

Registered at 430 E 162ND ST, SUITE 522, SOUTH HOLLAND, IL 604732258 (Tel: 7738953921)

👤
Provider Name / Credentials Updated August 15, 2008

Recorded as THOMAS WALLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2008

Driver (License #W46082583086 in IL)

🟢
Initial NPI Registration & Enumeration August 15, 2008

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: 1518113067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2008
Last Update: August 15, 2008
Sole Proprietor: No

Mailing Address

430 E 162nd St, Suite 522

South Holland, IL 604732258

Phone: 7738953921

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.