Individual
DR. KIMBERLY MARIA WALTON-VERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1645 COTTAGE GROVE AVE, FORD HEIGHTS, IL 60411-3818
(708) 753-5800
(708) 753-5910
Mailing address
1645 COTTAGE GROVE AVE, FORD HEIGHTS, IL 60411-3818
(708) 753-5800
(708) 753-5910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036097904
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036097904
STATE MEDICAL LICENSE NUM
IL
Enumeration date
07/26/2006
Last updated
05/04/2021
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