Individual provider · Type 1 NPI
Susan Walsh
Pediatric Nurse Practitioner · Chicago, IL
NPI number
1285008003
Active
Practice location
845 S Damen Ave, College Of Nursing, Dept. Of Wcfhs (mc 802)
Chicago, IL 60612-3727
Fax (312) 996-8871
Mailing address
2118 Harrison St
Glenview, IL 60025-4955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209.003797 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1285008003
Susan Walsh's National Provider Identifier is 1285008003, issued on Nov 17, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Nov 17, 2015.