Individual
JUSTINE ANTOINETTE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
650 PHOENIX CENTER DR, PHOENIX, IL 60426-2408
(708) 225-9900
(708) 225-9997
Mailing address
17700 DEVON DR, COUNTRY CLUB HILLS, IL 60478-4845
(773) 294-4183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-000804
IL
Other
Enumeration date
06/15/2006
Last updated
01/26/2009
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