DAVID CLAYTON WALTHALL

CHICAGO, IL
NPI1619477965
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.017198)
Enumeration Date2018-02-13
Last Update Date2018-02-13
Business Address
DAVID CLAYTON WALTHALL FNP, MSN, BSN
1340 S DAMEN AVE
CHICAGO, IL 60608-1169
Phone number: 312-997-7200
Mailing Address
DAVID CLAYTON WALTHALL FNP, MSN, BSN
1340 S DAMEN AVE
CHICAGO, IL 60608-1169
Phone number:
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