Individual provider · Type 1 NPI

Peter J. Waller, DO

Sports Medicine (Family Medicine) Physician · Skokie, IL

NPI number 1902291644 Active

Practice location

9650 Gross Point Rd. Suite 2900
Skokie, IL 60076

Fax (224) 251-2905

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	036150318 (IL)
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	036150318 (IL)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1902291644

Peter J. Waller, DO's National Provider Identifier is 1902291644, issued on Mar 31, 2015. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Skokie, IL. The record was last updated on Oct 10, 2019.