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NPI Code Detail

MEDICARE: CLARA M WALKER MS, LPC

MEDICARE: CLARA M WALKER MS, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178-020307IL

General Provider Information

NPI Number : 1013723469
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARA M WALKER MS, LPC
Provider Business Mailing Address
First Line : 1631 W LUNT AVE # APR3A
Second Line :
City : CHICAGO
State : IL
Zip : 60626-2728
Country : US
Telephone Number : 510-846-4230
Fax Number :
Provider Business Practice Location Address
First Line : 333 SKOKIE BLVD STE 108
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-1623
Country : US
Telephone Number : 847-450-6393
Fax Number : 847-919-8375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2024
Last Update Date : 12/09/2024

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