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NPI Profile for MIROSLAW WALO MD SC in NORTHFIELD, IL.
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prescribing (Medical) |
103TP0016X | 62 | Psychologist, Clinical | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI Number | 1679772479 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/12/2007 | |
| Last updated | 01/24/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MIROSLAW WALO, MD SC
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MIROSLAW WALO, MD SC