Organization
REGINA PALOYAN WALKER, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA PALOYAN WALKER MD (PRESIDENT/OWNER)
(630) 302-1001
Entity
Organization
Contact information
Practice address
4475 LAWN AVE, WESTERN SPRINGS, IL 60558-1283
(630) 302-1001
Mailing address
4475 LAWN AVE, WESTERN SPRINGS, IL 60558-1283
(630) 302-1001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-076781
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F100181267
MEDICARE PTAN
IL
Enumeration date
08/21/2014
Last updated
12/29/2014
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