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NPI Code Detail

MEDICARE: REGINA PALOYAN WALKER, MD SC

MEDICARE: REGINA PALOYAN WALKER, MD SC
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
1207Y00000XOtolaryngology Physician036-076781IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F100181267OTHERILMEDICARE PTAN

General Provider Information

NPI Number : 1518366855
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGINA PALOYAN WALKER, MD SC
Provider Business Mailing Address
First Line : 4475 LAWN AVE
Second Line :
City : WESTERN SPRINGS
State : IL
Zip : 60558-1283
Country : US
Telephone Number : 630-302-1001
Fax Number :
Provider Business Practice Location Address
First Line : 4475 LAWN AVE
Second Line :
City : WESTERN SPRINGS
State : IL
Zip : 60558-1283
Country : US
Telephone Number : 630-302-1001
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DR. REGINA PALOYAN WALKER
Credential : MD
Telephone Number : 630-302-1001
Provider Enumeration Date : 08/21/2014
Last Update Date : 12/29/2014

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Directions to “REGINA PALOYAN WALKER, MD SC ” Practice Location

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