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

Peter J. Waller, DO

Individual provider Family Medicine Physician · NPI 1902291644

Peter J. Waller, DO is a Sports Medicine in Skokie, Illinois. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2015, 11 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

9650 Gross Point Rd Ste 2900
Skokie, IL 60076
Phone: (847) 866-7846
Fax: (224) 251-2905
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 036150318 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036150318 (IL)

Record details

NPI number1902291644
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESOctober 10, 2019
Mailing address9650 Gross Point Rd. Suite 2900, Skokie, IL 60076

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2015 (11 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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