Individual
DR. KATHRYN G WALUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2760
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041366854
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209018550
IL
Other
Enumeration date
12/26/2018
Last updated
05/21/2019
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