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1285008003
SUSAN WALSH
CHICAGO, IL
NPI
1285008003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209.003797)
Enumeration Date
2015-11-17
Last Update Date
2015-11-17
Business Address
-- SUSAN WALSH
845 S DAMEN AVE COLLEGE OF NURSING, DEPT. OF WCFHS (MC 802)
CHICAGO, IL 60612-3727
Phone number: 312-355-4321
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Mailing Address
-- SUSAN WALSH
2118 HARRISON ST
GLENVIEW, IL 60025-4955
Phone number: 847-436-0851
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