Individual
MITZI WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
676 BROOKWOOD DR, OLYMPIA FIELDS, IL 60461-1510
(773) 474-9150
Mailing address
676 BROOKWOOD DR, OLYMPIA FIELDS, IL 60461-1510
(773) 474-9150
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
041-231858
IL
163WS0200X
School Registered Nurse
Primary
041-231858
IL
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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