Individual
JULI WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
4719 W BYRON ST, CHICAGO, IL 60641-6064
(773) 876-7014
Mailing address
4719 W BYRON ST, CHICAGO, IL 60641-6064
(773) 876-7014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
107-25869
IL
374J00000X
Doula
6820
IL
Other
Enumeration date
04/15/2010
Last updated
02/12/2012
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