Individual
MS. KRISTIN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2845 N SHERIDAN RD, SUITE 710, CHICAGO, IL 60657-6156
(773) 935-5556
(773) 935-2724
Mailing address
2845 N SHERIDAN RD, SUITE 710, CHICAGO, IL 60657-6156
(773) 935-5556
(773) 935-2724
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036113404
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036113404
STATE LICENSE
IL
Enumeration date
06/16/2006
Last updated
12/23/2021
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