Healthcare Provider Details

I. General information

NPI: 1013192699
Provider Name (Legal Business Name): KATHERINE A WALKER MHRM, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 E WASHINGTON ST SUITE A
WEST CHICAGO IL
60185-2228
US

IV. Provider business mailing address

3N130 ATLANTIC DR
WEST CHICAGO IL
60185-1756
US

V. Phone/Fax

Practice location:
  • Phone: 630-525-0025
  • Fax:
Mailing address:
  • Phone: 630-525-0025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number2177402
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: