DR. MIROSLAW JAN WALO (MD) – Child & Adolescent Psychiatry Physician, NPI 1700954294
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Provider Addresses for DR. MIROSLAW JAN WALO (MD)
4905 OLD ORCHARD PROFESSIONAL CENTER
SUITE 428
SKOKIE, IL 600774740
Phone: (847) 324-4300
Fax: (847) 324-4303
Type: Mailing
6650 N Northwest Hwy Ste 215
Chicago, IL 606311363
Phone: (847) 668-4422
Type: Location
PO BOX 7053
EVANSTON, IL 602047053
Phone: (847) 668-4415
Fax: (847) 324-4303
Type: Mailing
1010 CENTRAL AVE UNIT 4A
WILMETTE, IL 600912681
Phone: (847) 324-4300
Fax: (847) 324-4303
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $288.
Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($288).
Total Amount
$288
General + Research + Ownership
Payments
3
Total payment records
General Amount
$288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $288 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040228000185 | I | Psychiatry | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60077)
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