Walczak, Debra Ann

Walczak, Debra Ann is an individual health care provider with primary practice located at 1740 W Taylor St , Chicago IL 60612-7232. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Transplantation. Physician Assistants & Advanced Practice Nursing Providers / Transplantation is her primary health care specialty. Walczak, Debra Ann can be contacted via phone (312) 996-6021.

Contact Information

Primary practice address
1740 W Taylor St Chicago IL 60612-7232
Phone: (312) 996-6021
Fax: (312) 996-9723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 209006927 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Transplantation 364ST0500X 209006927 Illinois

Profile Details

NPI number 1235302167
LBN Legal business name Walczak, Debra Ann
Credentials CCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2008
Last updated Apr 11th, 2008 - about 17 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.

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