MEDICARE: WALKER MEDICAL LLC

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
1	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700064201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKER MEDICAL LLC

Provider Business Mailing Address
First Line	:	PO BOX 2613
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-0613
Country	:	US
Telephone Number	:	312-560-1906
Fax Number	:	219-939-6090

Provider Business Practice Location Address
First Line	:	426 S LAKE ST
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2405
Country	:	US
Telephone Number	:	219-939-8970
Fax Number	:	219-939-6090

Authorized Official
Title or Position	:	OWNER
Name	:	ROLAND H WALKER
Credential	:
Telephone Number	:	219-326-7337

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	08/19/2025

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Directions to “WALKER MEDICAL LLC ” Practice Location

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