Peterson Walz, Nancy

Peterson Walz, Nancy is an sole proprietor health care provider with primary practice located at 2502 Spring Ridge Dr Ste F, Spring Grove IL 60081-7812. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson Walz, Nancy can be contacted via phone (815) 382-7029.

Contact Information

Primary practice address
2502 Spring Ridge Dr Ste F Spring Grove IL 60081-7812
Phone: (815) 382-7029
Fax: (815) 363-5584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149005637 Illinois

Profile Details

NPI number 1861416687
LBN Legal business name Peterson Walz, Nancy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 27th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861416687 NPPES
Illinois Other 01633897 BCBS GROUP PROVIDER NUMBE

Popular Providers