Individual ProviderThomas WalshFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address11 Salt Creek Ln Ste 125, Hinsdale, IL 60521-3041(630) 655-1177PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Walsh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1245723121Provider TypeIndividualFull NameWalsh, ThomasCredentialDOGenderMaleSole ProprietorNoEnumeration Date6/14/2018Last Updated8/5/2021Contact InformationPractice LocationPractice Address11 Salt Creek Ln Ste 125, Hinsdale, IL 60521-3041Phone(630) 655-1177FaxUnlisted FaxMailing LocationMailing Address11 Salt Creek Ln Ste 125, Hinsdale, IL 60521-3041Phone(630) 655-1177FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036155192Illinois