Individual
MS. KATHERINE M WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12255 S 80TH AVE, PALOS HEIGHTS, IL 60463-1270
(708) 827-2021
Mailing address
12255 S 80TH AVE STE 203, PALOS HEIGHTS, IL 60463-1284
(708) 827-2021
(708) 827-2241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007104
IL
363AM0700X
Medical Physician Assistant
085007104
IL
Other
Enumeration date
09/23/2019
Last updated
07/02/2024
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