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Individual

MR. WALTER J PROKOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
KT

Contact information

Practice address
EDWARD HINES VA HOSPITAL, 5000 1ST AVE, HINES, IL 60141
(708) 202-3937
Mailing address
PO BOX 438, HINES, IL 60141-0438
(708) 202-3937

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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