Individual
PAULINE MARY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1969 W OGDEN AVE, EMERGENCY MEDICINE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
1969 W OGDEN AVE, EMERGENCY MEDICINE, CHICAGO, IL 60612-3765
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004376
IL
Other
Enumeration date
08/17/2012
Last updated
01/19/2016
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