Individual
IRENE JOY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
11901 S 80TH AVE STE 1, PALOS PARK, IL 60464-3107
(708) 923-9400
(708) 923-9402
Mailing address
11901 S 80TH AVE STE 1, PALOS PARK, IL 60464-3107
(708) 923-9400
(708) 923-9402
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001275
IL
225700000X
Massage Therapist
227012526
IL
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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