Individual
LUCY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3679
(708) 216-5858
Mailing address
532 DES PLAINES AVE APT 2A, FOREST PARK, IL 60130-1840
(773) 480-0194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002592
IL
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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