Individual
MS. ADRIENNE LOUISE MACWALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4073 BAYSIDE DR, HANOVER PARK, IL 60133-6073
(630) 483-1517
Mailing address
4073 BAYSIDE DR, HANOVER PARK, IL 60133-6073
(630) 483-1517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-233626
IL
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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