Individual
ASHLEY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-8501
Mailing address
PO BOX 1109, DEKALB, IL 60115-7109
(312) 966-2027
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
474579189001
DEKALB BEHAVIOR HEALTH CENTER
IL
Enumeration date
01/07/2021
Last updated
01/07/2021
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