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DR. MIROSLAW JAN WALO MD
NPI 1700954294
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wilmette, IL

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
1010 CENTRAL AVE UNIT 4A, WILMETTE, IL 60091(847) 324-4300(847) 324-4303 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Miroslaw Jan Walo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIROSLAW JAN WALO MD (NPI 1700954294) is an individual child & adolescent psychiatry provider in Wilmette, Illinois, licensed in Illinois (036-093864) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1700954294
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MIROSLAW JAN WALOCredential: MD
Location Address1010 CENTRAL AVE UNIT 4AWilmette, IL 60091-2681
Mailing AddressPo Box 7053Evanston, IL 60204-7053 · (847) 668-4415 · Fax (847) 324-4303
Phone(847) 324-4300
Fax(847) 324-4303
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 1, 2006
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1700954294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036-093864
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036093864 (IL)
1010 CENTRAL AVE UNIT 4A, Wilmette, IL 60091
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Secondary Practice Location 1

Location 16650 N Northwest Hwy Ste 215Chicago, IL 60631-1363 · Phone (847) 668-4422

Other Identifiers 1

Medicaid036093864IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Miroslaw Jan Walo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537056296
PECOS Enrollment IDI20040228000185
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services13 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
29 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miroslaw Walo's NPI number?

The NPI number for Miroslaw Walo is 1700954294. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Miroslaw Walo located?

Miroslaw Walo practices at 1010 Central Ave Unit 4A, Wilmette, IL 60091. The listed phone number is (847) 324-4300.

What is Miroslaw Walo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Miroslaw Walo enrolled in Medicare?

Yes. Miroslaw Walo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Miroslaw Walo was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.