Individual
DR. WALTER JOHN EPPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7362
Mailing address
2219 N CLIFTON AVE, APT 2E, CHICAGO, IL 60614-3533
(773) 572-7313
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
36-113717
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113717
—
IL
Enumeration date
04/10/2006
Last updated
04/23/2019
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