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Steven Walls

NPI 1437769577 · on the registry since 2020 · sole proprietor

Practice

Address
12 Chatham Cir
Kankakee, IL 60901
Phone
(815) 954-6362

Registry record

Primary taxonomy
347C00000X
347C00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-04

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