Walsh, Laura

Walsh, Laura is an individual health care provider with primary practice located at 1333 Burr Ridge Pkwy Ste 200 , Burr Ridge IL 60527-0833. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Walsh, Laura can be contacted via phone (630) 308-8706.

Contact Information

Primary practice address
1333 Burr Ridge Pkwy Ste 200 Burr Ridge IL 60527-0833
Phone: (630) 308-8706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 164002859 Illinois

Profile Details

NPI number 1639663412
LBN Legal business name Walsh, Laura
Credentials LDN, RDN, CPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2018
Last updated Jun 15th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639663412 NPPES
Illinois Other 164002859 IL DEPARTMENT OF PROFESSIONAL REGULATION

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