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NPI Code Detail

MEDICARE: WILLIAM JOSEPH WALTON

MEDICARE: WILLIAM JOSEPH WALTON
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
1101YP2500XProfessional Counselor180.017623IL

General Provider Information

NPI Number : 1972259752
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JOSEPH WALTON
Provider Business Mailing Address
First Line : 4889 N ASHLAND AVE APT 2W
Second Line :
City : CHICAGO
State : IL
Zip : 60640-3433
Country : US
Telephone Number : 913-850-8112
Fax Number :
Provider Business Practice Location Address
First Line : 8770 W BRYN MAWR AVE STE 1300
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3557
Country : US
Telephone Number : 312-768-8073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2022
Last Update Date : 12/11/2025

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Directions to “ WILLIAM JOSEPH WALTON ” Practice Location

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