Individual
SUSAN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.N., MED., ATCL
Contact information
Practice address
2323 N SHEFFIELD AVE, CHICAGO, IL 60614-3290
(773) 325-4473
Mailing address
2323 N SHEFFIELD AVE, CHICAGO, IL 60614-3290
(773) 325-4473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.000523
IL
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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