Individual
MR. TERRANCE RONALD WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT, CPFT
Contact information
Practice address
701 BANGS ST, AURORA, IL 60505-5311
(708) 202-8387
(708) 202-2235
Mailing address
701 BANGS ST, AURORA, IL 60505-5311
(630) 898-5069
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
Primary
—
IL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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