Individual
ADA BROWN-WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6614 S INGLESIDE AVE APT 2S, CHICAGO, IL 60637-4293
(312) 414-5642
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019417
IL
Other
Enumeration date
06/17/2019
Last updated
08/04/2022
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