Individual
NICOLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
676 N MICHIGAN AVE, CHICAGO, IL 60611-2883
(312) 535-2648
Mailing address
4601 BLANCHAN AVE, BROOKFIELD, IL 60513-2207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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