Doctor Name: | MR. ROBERT L WALKER |
NPI Number: | 1124158076 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HT |
License Number: | |
Business Practice Address: | 5133 Saint Charles Rd Unit F Bellwood, IL - 601041054 |
Business Phone Number: | 7085471999 |
Business Fax Number: | 7085471699 |
Mailing Address: | 5133 Saint Charles Rd, Unit F BELLWOOD |
State: | IL |
Postal Code: | 601041054 |
Phone Number: | 7085471999 |
Fax Number: | 7085471699 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QH0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Histology |
Taxonomy Definition: |