MIROSLAW WALO, MD SC
MIROSLAW WALO, MD SC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1679772479, based in Northfield, IL. The organization lists 2 taxonomy classifications, with Prescribing (Medical) Psychologist recorded as primary.
Getting there
The practice address on file is 1737 WINNETKA AVE, Northfield, IL 60093. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 042618878 | IL | Prescribing (Medical) Psychologist primary |
This provider holds licence 042618878 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2668369331
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Prescribing (Medical) covers
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. NUCC Health Care Provider Taxonomy, code 103TP0016X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TP0016X | Prescribing (Medical) Psychologist Prescribing (Medical) | 042618878 | IL | primary |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1679772479 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 12, 2007 |
| Last updated | Jan 24, 2025 |
| Status | Active |
| Practice address |
1737 WINNETKA AVE Northfield, IL 60093 (847) 324-4300 Fax (847) 324-4303 |
| Mailing address |
4905 OLD ORCHARD CTR STE 428 Skokie, IL 60077 |
| Other identifiers |
036093864
(IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 7 | 7 | 2 | 4 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 5 | 7 | 4 | 4 | 5 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.