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General NPI Number Information
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NPI Number | 1265561724
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Entity Type | Individual
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Provider Name | MARK CHRISTOPHER WALKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 E WACKER DR SUITE 2100
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City | CHICAGO
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State | IL
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Zip | 60601-1802
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Country | US
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Telephone | 312-908-7878
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Fax | 630-655-0728
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Provider Business Mailing Address
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Address Line | 418 N MONROE ST
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City | HINSDALE
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State | IL
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Zip | 60521-3151
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Country | US
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Telephone | 312-908-7878
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Fax | 630-655-0728
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 36-063569
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License Number State | IL
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