Individual
HOLLY R WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3168
(309) 676-8123
(309) 676-8455
Mailing address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3168
(309) 676-8123
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
085001719
IL
363A00000X
Physician Assistant
Primary
085001719
IL
363AM0700X
Medical Physician Assistant
085001719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0850017179
—
IL
01
—
P00300733
RAILROAD MEDICARE
IL
Enumeration date
03/09/2007
Last updated
02/04/2026
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