Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | IL | |
N | 222Z00000X | Podiatrist | IL | |
N | 213ES0103X | Foot & Ankle Surgery | IL |
NPI | 1043299084 |
---|---|
Provider Name | Dr. Walter Alan Alm |
First Address | Elgin, IL 60123-4980 |
Second Address | Elgin, IL 60123-4980 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T35495 | (02) |