Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ann Walsh

Individual provider Behavior Technician · NPI 1487110219

Ann Walsh is a Physician Assistant in Libertyville, Illinois. Qualified in 2021, 5 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

720 Florsheim Dr
Libertyville, IL 60048-3757
Phone: (847) 247-4000
Fax: (847) 234-2090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-008629 (IL)
Behavior Technician Taxonomy 106S00000X · Licence RBT019-74946 (IL)

Record details

NPI number1487110219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2019
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Libertyville