Individual
DR. JUDITH K WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
21237 S LAGRANGE RD, FRANKFORT, IL 60423-2046
(815) 469-8541
(815) 469-8106
Mailing address
21237 S LAGRANGE RD, FRANKFORT, IL 60423-2046
(815) 469-8541
(815) 469-8126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.008869
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09922174
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
09/20/2006
Last updated
07/31/2012
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