SearchIllinoisUrology Physician

Mary Waller, MD

NPI 1225024615 · on the registry since 2005

Practice

Address
1200 N East St
Olney, IL 62450
Phone
(618) 395-5222
Organisation at this address
Funkeye Llc
Weber Medical Clinic Ltd
Weber Medical Clinic Ltd
Weber Medical Clinic Ltd
Richland Memorial Hospital, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Urology Physician
208800000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-10-05
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois