David Otto Walterhouse

MD | Pediatric Hematology-Oncology | Male

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Complete Profile:

David Otto Walterhouse basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	David Otto Walterhouse
Credential :	MD
Gender :	Male

Business Address:

David Otto Walterhouse address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2300 Childrens Plaza, Division Of Hematology/oncology Box 30 Chicago, IL, 60614 United States
Phone Number :	773-755-6514
Fax Number :	773-880-3223

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1265491062
NPI Entity Type :	Individual
First Enrolment Date :	21 Mar, 2006
Last Updated On :	29 Sep, 2011

Medicare Participation:

David Otto Walterhouse participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1254354202
Medicare Enrollment ID :	I20060105000515
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Michigan Medical School
Graduation Year :	1984
Accepts Medicare?	Yes. David Otto Walterhouse accepts medicare insurance.

Group Practice Association:

David Otto Walterhouse is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which David Otto Walterhouse is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Pediatric Faculty Foundation Inc	4789597279	115	225 E Chicago Ave Chicago, IL - 606112991 Ph: 8005437362	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David Otto Walterhouse are as mentioned. Primary taxonomy code for David Otto Walterhouse, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	036079082	IL

Legacy Identifiers:

Other legacy medical identifiers of David Otto Walterhouse such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
036079082	MEDICAID	IL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2300 Childrens Plaza, Division Of Hematology/oncology Box 30 Chicago, IL, 60614 United States
Phone Number :	773-755-6514
Fax Number :	773-880-3223

Business Location:

Patients can refer following map for directions to David Otto Walterhouse practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.