Individual
OLIVIA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Mailing address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014760
IL
363LA2100X
Acute Care Nurse Practitioner
209014760
IL
363LA2200X
Adult Health Nurse Practitioner
209014760
IL
363LG0600X
Gerontology Nurse Practitioner
209014760
IL
Other
Enumeration date
10/04/2016
Last updated
08/28/2020
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