Individual
PATRICK WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.426288
IL
363L00000X
Nurse Practitioner
Primary
209.028553
IL
Other
Enumeration date
08/18/2023
Last updated
10/27/2023
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