NPI 1053478479

Andrew Vernon Wahl, DPM

Practitioner Podiatrist Joliet, IL

Practice location

Address: 1960 Essington Rd Suite 103, Joliet, IL 60435-1617
Phone: (815) 436-3555

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 016-004460 (IL)

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Registry record

NPI: 1053478479
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2007
Record last updated: 20 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.