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NPI Code Detail

MEDICARE: DESHIRNETTE WALKER

MEDICARE: DESHIRNETTE WALKER
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
1104100000XSocial Worker150106940IL

General Provider Information

NPI Number : 1386590545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESHIRNETTE WALKER
Provider Business Mailing Address
First Line : 3700 S WALLACE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60609-1745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3700 S WALLACE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60609-1745
Country : US
Telephone Number : 312-448-8213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ DESHIRNETTE WALKER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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