Individual
JENNIFER WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2760
Mailing address
1931 W LARCHMONT AVE, APT 1, CHICAGO, IL 60613-2415
(312) 480-8629
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.015457
IL
Other
Enumeration date
01/12/2017
Last updated
05/05/2021
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