Individual
SUSAN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 S DAMEN AVE, COLLEGE OF NURSING, DEPT. OF WCFHS (MC 802), CHICAGO, IL 60612-3727
(312) 355-4321
(312) 996-8871
Mailing address
2118 HARRISON ST, GLENVIEW, IL 60025-4955
(847) 436-0851
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.003797
IL
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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