Doctor Name: | ASHLEY MAE WALKER |
NPI Number: | 1669711727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101256728 |
Business Practice Address: | 3001 Green Bay Rd North Chicago, IL - 600643048 |
Business Phone Number: | 2246107776 |
Business Fax Number: | 2246107749 |
Mailing Address: | 3001 Green Bay Rd, NORTH CHICAGO |
State: | IL |
Postal Code: | 600643048 |
Phone Number: | 2246107776 |
Fax Number: | 2246107749 |
NPI Enumeration Date: | 02/11/2013 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101256728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |