Provider Demographics
NPI:1932288719
Name:WALTON, ROBERT LEE (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LEE
Last Name:WALTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:LEE
Other - Last Name:WALTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:60 EAST DELAWARE PLACE
Mailing Address - Street 2:SUITE 1430
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-1495
Mailing Address - Country:US
Mailing Address - Phone:312-337-7795
Mailing Address - Fax:312-337-7798
Practice Address - Street 1:60 E DELAWARE PL
Practice Address - Street 2:SUITE 1430
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-1495
Practice Address - Country:US
Practice Address - Phone:312-337-7795
Practice Address - Fax:312-337-7798
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1191202082S0105X
IL036087851174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand