Individual
MEGAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S WALL ST, CARBONDALE, IL 62901-3021
(618) 519-9200
Mailing address
PO BOX 577, 109 CALIFORNIA STREET, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.014973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370966854017
—
IL
Enumeration date
09/01/2016
Last updated
12/11/2020
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