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Individual

MS. DEBRA ANN WALCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCNS

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-6021
(312) 996-9723
Mailing address
5547 S MCVICKER AVE, CHICAGO, IL 60638-2637
(773) 284-1403

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
209006927
IL
364ST0500X
Transplantation Clinical Nurse Specialist
Primary
209006927
IL

Other

Enumeration date
04/11/2008
Last updated
04/11/2008
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