Individual
GINA M WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 565-3251
Mailing address
1501 S CALIFORNIA AVE # 7-140, CHICAGO, IL 60608-1732
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036157515
IL
208100000X
Physical Medicine & Rehabilitation Physician
230573
MA
208100000X
Physical Medicine & Rehabilitation Physician
MD45043
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036157515
—
IL
Enumeration date
12/08/2006
Last updated
07/21/2025
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