Individual
DAVID WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 622-5400
Mailing address
5644 N MOODY AVE, CHICAGO, IL 60646-6126
(920) 203-3872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025805
IL
Other
Enumeration date
08/23/2022
Last updated
03/01/2023
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