IndividualActive
Mary Walsh, PA-C
NPI 1225677404 · Sports Medicine (Orthopaedic Surgery) Physician · Chicago, IL
Provider details
- NPI number
- 1225677404
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085007391 (IL)
Mailing address
2604 William Dr
Valparaiso, IN 46385-8182
Registry dates
- Enumerated
- 2020-01-05
- Last updated
- 2020-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.