Individual
MR. EUGENE JOSEPH WALAG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
DEPARTMENT OF VETERANS AFFAIRS - ILLIANA (EW122), 1900 E. MAIN ST., DANVILLE, IL 61832-5100
(217) 554-5527
(217) 554-4090
Mailing address
DEPARTMENT OF VETERANS AFFAIRS - ILLIANA (EW122), 1900 E. MAIN ST., DANVILLE, IL 61832-5100
(217) 554-5527
(217) 554-4090
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150102957
IL
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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