Individual
MRS. NANCY ANN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3763 N ORIOLE AVE, CHICAGO, IL 60634-3217
(773) 425-1293
Mailing address
3763 N ORIOLE AVE, CHICAGO, IL 60634-3217
(773) 425-1293
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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