Individual
DR. JESSICA RUTH WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
259 E ERIE ST STE 2400, CHICAGO, IL 60611-3907
(312) 695-7269
(312) 695-4924
Mailing address
259 E ERIE ST STE 2400, CHICAGO, IL 60611-3907
(312) 695-7269
(312) 695-4924
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125065238
IL
207VE0102X
Reproductive Endocrinology Physician
Primary
036156432
IL
Other
Enumeration date
03/31/2014
Last updated
09/23/2021
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