Individual
DR. LORNA V WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
8601 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6107
(773) 783-7599
(773) 783-7698
Mailing address
8601 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6107
(773) 783-7599
(773) 783-7698
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004143
—
IL
Enumeration date
09/08/2005
Last updated
11/06/2023
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