Individual
DR. PAUL M. WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
23 N WATER ST, GENEVA, IL 60134-2218
(630) 262-1090
(630) 262-1091
Mailing address
23 N WATER ST, GENEVA, IL 60134-2218
(630) 262-1090
(630) 262-1091
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04521646
BLUE CROSS BLUE SHIELD ID
IL
Enumeration date
10/06/2006
Last updated
07/08/2007
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