Dr. Richard Joseph Wallyn
Internist - Addiction Medicine
1300 Brassie Ave.
Flossmoor
, Illinois 60422-1812
Dr. Richard Joseph Wallyn
Internist - Addiction Medicine
1300 Brassie Ave.
Flossmoor
, Illinois 60422-1812
(708) 798-1356
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Richard Joseph Wallyn
- 1300 Brassie Ave.
- Flossmoor, IL
- Zip : 60422-1812
- Fax : (708) 798-1356
- Phone : (708) 798-1356
Second Address
- Dr. Richard Joseph Wallyn
- 1300 Brassie Ave.
- Flossmoor, IL
- Zip : 60422-1812
- Fax : (708) 798-1356
- Phone : (708) 798-1356
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 036-32156 | IL |
National Provider Identifier
| NPI | 1033343132 |
|---|---|
| Provider Name | Dr. Richard Joseph Wallyn |
| First Address | Flossmoor, IL 60422-1812 |
| Second Address | Flossmoor, IL 60422-1812 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
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.