Individual
KATHERINE WHITTAKER WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN, CNP
Contact information
Practice address
912 S WOOD ST # MC799, CHICAGO, IL 60612-4300
(312) 996-4842
Mailing address
912 S WOOD ST # MC799, CHICAGO, IL 60612-4300
(312) 996-4842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041284177
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209003069
IL
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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