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NPI Code Detail

MEDICARE: SADIE EMMA WALKER

MEDICARE: SADIE EMMA 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
1225X00000XOccupational Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000000000OTHERX

General Provider Information

NPI Number : 1689183550
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADIE EMMA WALKER
Provider Business Mailing Address
First Line : 4535 N HAMILTON AVE
Second Line : 3W
City : CHICAGO
State : IL
Zip : 60625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2732 N HAMPDEN CT
Second Line :
City : CHICAGO
State : IL
Zip : 60614-1612
Country : US
Telephone Number : 773-248-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2017
Last Update Date : 09/23/2017

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Directions to “ SADIE EMMA WALKER ” Practice Location

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