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Michael Walter, LAT
NPI 1225233091 · on the registry since 2007
Practice
- Address
- 635 Executive Dr
Willowbrook, IL 60527 - Phone
- (630) 455-6630
- Fax
- (630) 455-6631
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois