Dr Walter Tatch, is a
Oral & Maxillofacial Surgery based in Gurnee, Illinois. Dr Walter Tatch is licensed to practice in Illinois (license number 021002076) and his current practice location is
310 S Greenleaf St Ste 203, Gurnee, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 623-5915.
NPI number for Dr Walter Tatch is 1285714568 and his current mailing address is 700 Osterman Ave, Deerfield, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285714568.
Healthcare Provider's Profile
Full Name | Dr Walter Tatch |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 310 S Greenleaf St Ste 203, Gurnee, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285714568
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 12/16/2024
Medical Identifiers
Medical identifiers for Dr Walter Tatch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285714568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 021002076 (Illinois) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 021002076 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Walter Tatch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Walter Tatch, 700 Osterman Ave, Deerfield, IL 60015-4375 Ph: (847) 623-5915 | Dr Walter Tatch, 310 S Greenleaf St Ste 203, Gurnee, IL 60031-5708 Ph: (847) 623-5915 |
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