Organization
ELSIE R. WALKER M. D., P. C.
Active
Organization
ELSIE R. WALKER M. D., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSIE RUTH WALKER THOMAS M.D. (OWNER)
(773) 721-0470
Entity
Organization
Contact information
Practice address
8015 S LUELLA AVE, SUITE 212, CHICAGO, IL 60617-1199
(773) 721-0470
(773) 721-0470
Mailing address
8015 S LUELLA AVE, SUITE 212, CHICAGO, IL 60617-1199
(773) 721-0470
(773) 721-0470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036068920
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068920
—
IL
01
—
110022723
RAIL ROAD MEDICARE
IL
01
—
242068
HARMONY
IL
01
—
3160223878
BLUE CROSS AND BLUE SHIEL
IL
Enumeration date
11/17/2007
Last updated
06/01/2011
Update your record
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