Individual
NAN O WALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1430 N ARLINGTON HTS RD, SUITE 105, ARLINGTON HTS, IL 60004
(847) 253-3600
(847) 253-3912
Mailing address
1430 N ARLINGTON HTS RD, SUITE 105, ARLINGTON HTS, IL 60004-4830
(847) 253-3600
(847) 253-3912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/09/2007
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