Individual
ELLEN R WALUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1541 W DEVON AVE, CHICAGO, IL 60660-1313
(773) 250-5222
(773) 866-8018
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.029563
IL
363LF0000X
Family Nurse Practitioner
4704344232
MI
Other
Enumeration date
10/10/2022
Last updated
06/16/2025
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