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NPI Code Detail

MEDICARE: DR. PATRICIA WALKER PH.D.

MEDICARE:  DR. PATRICIA  WALKER  PH.D.
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
1103TC0700XClinical PsychologistIL

General Provider Information

NPI Number : 1558409516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA WALKER PH.D.
Provider Business Mailing Address
First Line : 441 E ERIE ST
Second Line : 4002
City : CHICAGO
State : IL
Zip : 60611-4446
Country : US
Telephone Number : 312-654-8170
Fax Number :
Provider Business Practice Location Address
First Line : 441 E ERIE ST
Second Line : 4002
City : CHICAGO
State : IL
Zip : 60611-4446
Country : US
Telephone Number : 312-654-8170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/08/2007

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Directions to “ DR. PATRICIA WALKER PH.D.” Practice Location

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