Individual
ELIZABETH A WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
251 E HURON ST STE 16-738, CHICAGO, IL 60611-2908
(312) 926-5924
(312) 926-6134
Mailing address
251 E HURON ST STE 16-738, CHICAGO, IL 60611-2908
(312) 926-5924
(312) 926-6134
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085005115
IL
Other
Enumeration date
11/07/2014
Last updated
02/07/2020
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