Individual
MELINDA S WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
311 W LINCOLN ST STE 200, BELLEVILLE, IL 62220-1902
(618) 234-2566
(618) 234-5650
Mailing address
311 W LINCOLN ST, SUITE 300, BELLEVILLE, IL 62220-1902
(618) 234-2566
(618) 234-5650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-088446
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159459
UNITED HEALTHCARE/COMMERCIAL
—
01
—
166423
GROUP HEALTH PLAN
—
01
—
23934
BLUE CROSS BLUE SHIELD
MO
01
—
250243
HEALTHLINK
—
01
—
5746595
AETNA
—
01
—
678480001
DMERC
—
01
—
80057275
RR MEDICARE
—
01
—
983310100
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/18/2005
Last updated
12/16/2021
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