Individual
DEJA LYNN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2194 S 12600E RD, PEMBROKE TWP, IL 60958-3554
(815) 278-5556
Mailing address
2194 S 12600E RD, PEMBROKE TWP, IL 60958-3554
(815) 278-5556
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.132735
IL
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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