Individual
MINNETTA MARIE GILLS-WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 N LOCKWOOD AVE, CHICAGO, IL 60651-1432
(708) 674-1127
Mailing address
1524 N LOCKWOOD AVE, CHICAGO, IL 60651-1432
(708) 674-1127
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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