Organization · Type 2 NPI
Miroslaw Walo, MD SC
Prescribing (Medical) Psychologist · Northfield, IL
Practice location
1737 Winnetka Ave
Northfield, IL 60093-3318
Fax (847) 324-4303
Mailing address
4905 Old Orchard Ctr, Ste 428
Skokie, IL 60077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | 042618878 (IL) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
About NPI 1679772479
Miroslaw Walo, MD SC's National Provider Identifier is 1679772479, issued on Jul 12, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Northfield, IL. The record was last updated on Jan 24, 2025.