David Otto Walterhouse
Pediatric Hematology-Oncologist
2300 Childrens Plaza Division Of Hematology/oncology Box 30
Chicago
, Illinois 60614
David Otto Walterhouse
Pediatric Hematology-Oncologist
2300 Childrens Plaza Division Of Hematology/oncology Box 30
Chicago
, Illinois 60614
(773) 880-3223
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- David Otto Walterhouse
- 2300 Childrens Plaza Division Of Hematology/oncology Box 30
- Chicago, IL
- Zip : 60614
- Fax : (773) 880-3223
- Phone : (773) 755-6514
Second Address
- David Otto Walterhouse
- 2300 Childrens Plaza Division Of Hematology/oncology Box 30
- Chicago, IL
- Zip : 60614
- Fax : (773) 880-3223
- Phone : (773) 755-6514
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 036079082 | IL |
National Provider Identifier
| NPI | 1265491062 |
|---|---|
| Provider Name | David Otto Walterhouse |
| First Address | Chicago, IL 60614 |
| Second Address | Chicago, IL 60614 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2006 |
| Last Update Date | 29/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036079082 | (05) | IL |
| E18622 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.